Risk Factors Related To Clinical Cases Of Hypertensive Intracerebral Hemorrhage Analysis

Objective To get out and analyze the related risk factors of HICH(hypertensive in tracerebral hemorrhage), by collecting the hospital for treatment of HICH clinical data, in order to provide a new basis for the prevention and clinical treatment of HICH.Methods The case group was composed by 120 cases of hypertensive intracerebra l hemorrhage, and the control group was composed by 120 cases of hypertension but no intracerebral hemorrhage, in the ratio of 1:1, to conduct self-administered q uestionnaire with the two case groups. The investigation involve(gender, age, med ical history, smoking, alcohol consumption, exercise, work, antihypertensive drug u se, the time of onset, body mass index), biochemical tests(total cholesterol, trigly cerides, low-density lipoprotein, apolipoprotein B, and homocysteine) and head ma gnetic resonance(susceptibility weighted imaging, conventional T1/T2) and other t ests.Result 1 There was no significant difference in terms of gender and age distribu tion of the two groups of patients(P>0.05); 2 The place of hypertensive intracereb ral hemorrhage were mainly on basal ganglia,73 cases(61%); thalamus 30 cases(25%), 11 cases of the cerebellum(9%), brainstem hemorrhage in 6 cases(5%);3 T he proportion of patients in the case group of male than female patients, there wa s a significant difference(P<0.05), in contrast,there was no significant difference in the proportion of male and feale patients in the control group(P>0.05); 4 Hyperte nsive intracerebral hemorrhage patients most vulnerable to disease period 5-7 o’clo ck in the morning(56%); 5 Univariate logistic regression analysis Hint: not the la w of antihypertensive drugs, obesity, smoking, alcohol consumption, diabetes, heart disease, apolipoprotein B, triglycerides, low-density lipoprotein and homocysteine is elevated and cerebral microbleeds risk factors for hypertensive intracerebral hem orrhage, however, physical exercise is a protective factor; 6 Multivariate logistic a nalysis showed: cerebral microbleeds, apolipoprotein B, not the law of oral antihy pertensive drugs for hypertension risk factors in patients with cerebral hemorrhage, on the other side, physical exercise is a protective factor.Conclusions 1 Hypertensive intracerebral bleeding site in the basal ganglia and t halamic hemorrhage the most common. 2 Men, obesity, diabetes and coronary hea rt disease, hyperlipidemia, smoking, alcohol abuse, elevated homocysteine may be risk factors for hypertensive intracerebral hemorrhage, futher, not regular use of an tihypertensive drugs, apolipoprotein B and a history of cerebral microbleeds are th e main risk factors for hypertensive intracerebral hemorrhage; in contrast, physical exercises are protective factors.