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目的 探讨高血压脑出血(HIH)患者病前经历的生活事件特点及其与发病的关系。方法 采用生活事件量表(LES)对68例首次发作的高血压脑出血患者进行评定,并与正常对照组比较。结果 高血压脑出血患者病前所经历的负性生活事件刺激量及生活事件总刺激量均显著高于对照组(P<0.05)。多元逐步回归分析提示负性生活事件刺激量与性别、年龄、职业相关。结论 高血压脑出血发病与社会心理因素,尤其是负性生活事件密切相关,应加强对男性、高龄化、脑力劳动者人群HIH发病的预防
Objective To investigate the characteristics of life events experienced in patients with hypertensive intracerebral hemorrhage (HIH) and their relationship with the pathogenesis. Methods 68 patients with first episode of hypertensive intracerebral hemorrhage were assessed with Life Events Scale (LES), and compared with the normal control group. Results In patients with hypertensive intracerebral hemorrhage, the negative life events and total life events were significantly higher than those in the control group (P <0.05). Multiple stepwise regression analysis showed that the negative life events were related to gender, age and occupation. Conclusion The incidence of hypertensive intracerebral hemorrhage is closely related to psychosocial factors, especially negative life events, and prevention of HIH should be strengthened in male, elderly and mental workers