Study on the clinical grading standard of intracerebral hemorrhage GrowthWU Yuan-shui1LI Xu-ping2CHEN Yi-rong3
WU Yuan-shui1 LI Xu-ping2 CHEN Yi-rong3
1.Department of Neurosurgery，People′s Hospital of Shangrao City in Jiangxi Province，Shangrao 334000，China；
2.Department of Neurosurgery，People′s Hospital of Hengfeng County in Jiangxi Province，Hengfeng 334300，China；
3.Xinzhou District Health Education Center of Shangrao City in Jiangxi Province，Shangrao 334000，China
Abstract：Objective To study the related factors of intracerebral hemorrhage（ICH）Growth，then establish a convenient，feasible and effective ICH Growth clinical scoring standard.Methods The clinical data of 300 patients with ICH（induce group）admitted to our hospital from 2009 to 2012 were retrospectively analyzed，the multivariate Logistic regression and other statistical analysis were used to analysis，after the establishment of clinical evaluation standard，80 patients with ICH admitted to hospital from 2013 to 2015 were selected as validated group.Results In 380 patients with ICH，199 patients with hematoma enlargement，their mean diastolic blood pressure（DBP）was（109±7）mmHg，mean systolic blood pressure （SBP）was（201±15）mmHg，while average DBP of patients without hematoma enlargement was （105±6）mmHg，mean SBP with （183±13）mmHg；average SBP was statistically significant in two groups（P＜0.05），and average DBP was no significant difference in two groups（P＞0.05）.The results of multivariate Logistic regression analysis indicated that drinking history，time from onset to first CT check，anticoagulant therapy and shape of hematoma were positively correlated with ICH Growth.The expected cases and the actual cases of ICH Growth in validation group were no significant difference（χ2=2.8876，P=0.5768）.Conclusion By drinking history，time from onset to first CT check，anticoagulant therapy，shape of hematoma four risk factors clinical criteria can better predict occurrence of ICH Growth.
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