| ObjectiveThis study was aimed to investigate the current incidence and prognostic factors of this research by collecting clinical data of hypertensive intracerebral hemorrhage(HICH)in Aksu Prefecture by collecting clinical data of HICH patients from January 2010 to December 2014,so as to provide theoretical reference for the prevention,health education,early diagnosis and treatment of patients,as well as the improvement of prognosis of HICH patients in this region.MethodsThe clinical data of 1573 patients with(hypertensive intracerebral hemorrhage,HICH)confirmed by cranial CT scan and admitted from 2010 to 2014 in 7 medical institutions including First Division Hospital of Xinjiang Production and Construction Corps(Aksu),Aksu Prefecture Second People's Hospital,Wushi County People's Hospital,Awat County People's Hospital,Baicheng County People's Hospital,Kuqa County People's Hospital and Alar People's Hospital were collected for retrospective analysis on the indicators including the patients' gender,ethnic group,onset seasons;HICH knowledge;family history of cerebral hemorrhage,conditions of hypertension,diabetic mellitus,and heart disease;the volume of hematoma,the time interval between the onset to the hospital visit,patients' status at admission,treatment processes and results after admission,as well as other factors influencing the treatment results.The clinical data entry was conducted with Epi Data 3.02 for independent double data entry,with consistency check and logic verification.The database was updated and locked after consistency check and logic verification.The statistical analysis was carried out with SPSS 17.0,and the grouped data were described by frequency(percentage).The Chi-squared test was used in the comparisons of inter-group rates or constituent ratio.Fisher's exact test was applied for the 95% CI of the rates based on the binomial distribution.The measurement data were expressed by standard deviation(s)and the count data were represented as n.The measurement data were examined by the t test,while the count data with the Chi-square test and ANOVA.Multivariate analyses were conducted using Multiple Logistic Regression Analysis.And P<0.05 was defined as statistical significance.ResultsOf the 1573 HICH patients in Aksu Prefecture,and the male-to-female ratio was 1.16:1,including 484 male and 354 female patients of Chinese Han people(male-to-female ratio: 1.37:1),and 360 male and 375 female patients of Uygur people(male-to-female ratio: 0.96:1),indicating higher incidence in Uygur women than in Uygur men and different gender structure of the incidence in Chinese Han people and Uygur people.The onset ages of the patients included in this group were between40~79 years old,with larger amount of patients > 60 years old than the patients <60.There were 439 cases(52.4%)of Chinese Han people and 328(44.6%)Uygur patients,with the proportion of the former higher than the latter.For the onset seasons,the onsets of 508 cases(32.3%)were in summer,ranking the first,followed by autumn of 379 onsets(24.1%).The differences of the HICH prognostic factors in age,ethnic group(Chinese Han and Uygur),HICH knowledge,family history of cerebral hemorrhage,the volume of hematoma,and the time interval between the onset and the hospital visit were statistically significant.(P<0.05).According to the results of Multiple Logistic Regression Analysis,HICH patients' age,ethnic group(Chinese Han and Uygur),HICH knowledge,family history of cerebral hemorrhage,the volume of hematoma,and the time interval between the onset and the hospital visit were influential factors for the short-term prognosis of HICH.ConclusionAccording to the onset characteristics of HICH patients in Aksu Prefecture,the improvement in health education,chronic disease management,the construction of the emergency green channel and the indicator observation during clinical treatment can help to improve the short-term prognosis and to lower the mortality and morbidity of HICH patients. |
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