Relationship between CT images and Prognosis in Patients with Basal Ganglia Intracerebral Hemorrhage
Objective To analyze the relationship between computed tomography(CT)images and prognosis in patients with basal ganglia intracerebral hemorrhage.Methods A total of 76 patients with basal ganglia intracerebral hemorrhage who were admitted to the hospital from February 2020 to February 2023 were selected.All of the patients received CT scanning on the day of admission and after 7d of treatment.According to the Glasgow Outcome Scale(GOS)score at 3 months after discharge,the patients were divided into poor prognosis group and good prognosis group.Clinical data and CT images of the two groups were compared.Logistic regression analysis was conducted to identify the prognostic factors.Results Among the 76 patients,31(40.79%)patients had poor prognosis and 45(59.21%)patients had good prognosis.The proportion of hemorrhage breaking into ventricles in the poor prognosis group was significantly higher than that in the good prognosis group(P<0.05).Cerebral hematoma volume,midline displacement rate and hematoma absorption rate in the poor prognosis group were significantly larger/higher than those in the good prognosis group(P<0.05).Multivariate logistic analysis found that hemorrhage breaking into ventricles,cerebral hematoma volume and midline displacement were risk factors for poor prognosis of patients with basal ganglia intracerebral hemorrhage(P<0.05),while hematoma absorption rate was a protective factor(P<0.05).Conclusion Hemorrhage breaking into ventricles,cerebral hematoma volume and midline displacement in CT image analysis are risk factors for poor prognosis of patients with basal ganglia intracerebral hemorrhage,and hematoma absorption rate is a protective factor.