Analysis Of Risk Factors For Early Cerebral Vasospasm After Hypertensive Intracerebral Hemorrhage

Objective:The study aimed to observe the occurrence of early cerebral vasospasm after hypertensive intracerebral hemorrhage by CT angiography(CTA),and to explore the relationship between early cerebral vasospasm and delayed cerebral ischemia after hypertensive intracerebral hemorrhage,and screen out early brain.Risk factors associated with vasospasm,early assessment of the condition of patients with hypertensive intracerebral hemorrhage.Through the analysis of risk factors,early detection and early diagnosis of early cerebral vasculature provide a basis for clinical practice.Methods:A total of 120 patients with eligible hypertensive cerebral hemorrhage admitted to Xiangdong Hospital affiliated to Hunan Normal University from October 2017 to December 2018 were enrolled.According to whether they broke into the ventricle group,65 patients with brain parenchymal hemorrhage,cerebral hemorrhage 55 patients were enrolled in the ventricle group,including basic information including name,gender,age,systolic blood pressure at admission,diastolic blood pressure,bleeding site,amount of hematoma in the brain,blood glucose at admission,white blood cell count,hemoglobin value,GCS score,NIHSS score,Graeb The scores were taken and the head CTA scan was performed within 48 hours after the onset to evaluate the degree of early cerebral vasospasm and to analyze the relationship between early cerebral vasospasm and related risk factors.Multivariate linear stepwise regression analysis was performed on the factors that may affect cerebral vasospasm with SPSS 22.0 statistical software.P<0.05 was statistically significant.Results:1.The incidence of early mild cerebral vasospasm in the intracerebral hemorrhage group was 4.6%,the incidence of early moderate cerebral vasospasm was 1.6%,and the incidence of early severe cerebral vasospasm was 0%.The incidence of early mild cerebral vasospasm in hypertensive cerebral hemorrhage was 18.2%,the incidence of early moderate cerebral vasospasm was 12.7%,and the incidence of early severe cerebral vasospasm was 0%.2.Early cerebral vasospasm caused by hypertensive cerebral hemorrhage into the ventricle group was associated with the occurrence of delayed cerebral ischemia(P=0.028).3.Hypertensive cerebral hemorrhage broke into the ventricle early cerebral vasospasm and there was a linear regression relationship between Graeb score(X1),white blood cell count(X2),NIHSS score(X3),and intracerebral hematoma volume(X4).The regression equation established was:Y=-0.355+0.114X1+0.051X2+0.035X3+0.013X4.Conclusion:1.The incidence of mild and moderate cerebral vasospasm is higher in patients with hypertensive intracerebral hemorrhage.2.Early cerebral vasospasm in patients with hypertensive cerebral hemorrhage breaking into the ventricles may lead to delayed cerebral ischemia.3.Hypertensive cerebral hemorrhage with high Graeb score,high white blood cell count,high NIHSS score,and large amount of intracerebral hematoma can be more likely to occur in early cerebral vasospasm.