The Correlation between CTA Imaging and Prognosis in Patients with Hypertensive Intracerebral Hemorrhage
Objective:To explore the correlation between CTA imaging and the prognosis of patients with hypertensive intracerebral hemorrhage(HICH).Method:A total of 82 patients with HICH admitted to the First People's Hospital of Fuzhou from November 2021 to September 2023 were selected as research subjects.All patients underwent cranial CT scans,with observations made on the volume of bleeding,location of bleeding,whether the hematoma had breached into the ventricles,and the extent of midline shift.The Barthel index was used to assess the prognosis of the patients,and the correlation between CTA imaging and prognosis was analyzed.Result:The scores of Barthel index for bleeding volumes<30 mL was(52.45±7.85)points,30-50 mL was(45.31±6.21)points,and>50 mL was(36.60±6.17)points,the difference was statistically significant(P<0.05);the location of bleeding,the Barthel index scores of basal ganglia area,cerebral lobes,thalamus,cerebellum,and brainstem were(46.69±6.51),(42.50±5.21),(46.67±6.42),(39.92±4.39),and(35.30±3.21)points,respectively,the difference was statistically significant(P<0.05);the prognosis of patients with hematoma breaching into the ventricles was poor,the difference was statistically significant(P<0.05);the Barthel index scores of midline shift≥10 mm and<10 mm were(36.67±4.54)and(49.87±8.62)points,respectively,the difference was statistically significant(P<0.05).Correlation analysis showed that bleeding volume,hematoma rupture into the ventricles,and midline shift were negatively correlated with prognosis(P<0.05).Conclusion:The prognosis of patients with HICH is significantly correlated with the CTA imaging presentation of bleeding volume,ventricular involvement of the hematoma,and the degree of midline shift,larger volumes of bleeding,ventricular breach,and severe midline shift are all closely associated with an adverse prognosis.
Hypertensive intracerebral hemorrhageCTA imagingPrognosisLocation of bleedingHematoma breaching into ventricles
万方数据
维普
