Clinical Multifactorial Analysis Of Rebleeding Blood Within 72 Hours After Hypertensive Cerebral Hemorrhage

Objective: This study collected the risk factors related to the recurrence of blood after surgery for hypertensive cerebral hemorrhage during the perioperative period,Analyze the relationship between these factors and postoperative rebleeding with relevant statistical methods,and formulate corresponding preventive measures,So as to effectively reduce the mortality and disability rate of patients with hypertensive cerebral hemorrhage.Methods: This study collected 19 risk factors related to postoperative blood recurrence in 214 patients with hypertensive cerebral hemorrhage admitted to the Department of Neurosurgery of the Affiliated Hospital of Youjiang Nationalities Medical College and Department of Neurosurgery of Wenshan People's Hospital from January 2018 to July 2019.,And retrospectively analyze the data of these patients;Perform a single factor Pearson chi-square analysis on each factor,select the variables with statistical significance,and then use multivariate binary logistic regression analysis to analyze the independent risk factors of postoperative bleeding.Results: Through a single factor Pearson chi-square analysis of these 19 risk factors,it was found that a total of 7 factors were closely related to postoperative blood recurrence,namely: abnormally elevated blood glucose before surgery,abnormal blood coagulation function,and systolic blood pressure upon admission ?200mm Hg,diastolic blood pressure at admission ?120mm Hg,time after onset and operation ?6h,postoperative blood pressure instability,postoperative patient restlessness,these 7 factors were statistically analyzed and their P values were less than or equal to 0.05,while the remaining factors There was no obvious statistical significance after comparing with recurrence of blood after operation(P>0.05).These 7 indicators were used again in binary logistic regression analysis for multi-factor analysis and the final 5 relevant factor indicators were obtained,namely abnormally increased preoperative blood glucose(P <0.01),abnormal coagulation function(P ? 0.05)2.Time from onset to surgery ? 6h(P ? 0.05),postoperative blood pressure instability(P ? 0.05),postoperative patient restlessness(P <0.01),suggesting that these related indicators have a certain correlation with postoperative blood recurrence.Conclusion: Abnormally increased blood glucose before operation,abnormal blood coagulation function,ultra-early operation after onset,unstable blood pressure after operation and restlessness after operation are closely related to rebleeding after hypertensive cerebral hemorrhage.During clinical surgery for hypertensive cerebral hemorrhage,attention should be paid to correct related abnormal indicators before operation,and postoperative care should be taken to maintain stable blood pressure and give appropriate analgesia and sedation to prevent patients from agitation,minimize the occurrence of postoperative rebleeding,and improve the treatment effect Improve prognosis.