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目的探索脑出血患者早期临床资料与合并高血压之间的关系,进而做出恰当的脑出血病因诊断和管理措施。方法对712例脑出血患者的临床资料进行回顾性分析,其中高血压病组(561例)和非高血压病组(151例),分析早期临床资料与高血压病的关系。结果 2组年龄、肝功能不全、糖尿病、吸烟史、入院时血压和出血部位(深部、脑叶、脑室)的构成比比较差异有统计意义(P<0.05)。年龄、入院时血压、脑叶出血、深部出血部位是脑出血患者合并高血压的独立预测因素,其中脑叶出血为负相关因素,年龄、入院时血压、深部出血为正相关因素。结论脑出血患者早期临床资料能够提示是否合并高血压,其中脑叶出血为负相关因素,年龄、入院时血压、深部出血为正相关因素。
Objective To explore the relationship between early clinical data and hypertension in patients with intracerebral hemorrhage and to make proper diagnosis and management of etiology of cerebral hemorrhage. Methods The clinical data of 712 patients with cerebral hemorrhage were analyzed retrospectively, including 561 cases of hypertension and 151 cases of non-hypertension. The relationship between early clinical data and hypertension was analyzed. Results The age, liver insufficiency, diabetes mellitus, smoking history, blood pressure and bleeding site (deep, cerebral lobe, ventricles) were significantly different between the two groups (P <0.05). Age, admission blood pressure, lobar hemorrhage and deep bleeding were independent predictors of ICH in patients with ICH. Among them, lobar lobar hemorrhage was negatively correlated with age, admission blood pressure and deep hemorrhage as positive factors. Conclusions The early clinical data of patients with ICH can suggest whether hypertension is associated with hypertension. Among them, lobar lobar hemorrhage is negatively correlated with age, admission blood pressure and deep hemorrhage as positive correlation factors.