Influencing Factors Analysis and Intervention Countermeasures of Postoperative Hydrocephalus in Patients with Hypertensive Intracerebral Hemorrhage
Objective:To analyze the influencing factors of postoperative hydrocephalus(HCP)in patients with hypertensive intracerebral hemorrhage(HICH),and to explore the corresponding intervention strategies.Method:The clinical data of 172 HICH patients who underwent hematoma removal surgery in Sanming First Hospital from June 2021 to December 2023 were retrospectively analyzed,they were divided into HCP group and non-HCP group according to the presence or absence of HCP after surgery.Univariate analysis and logistic regression analysis were used to analyze the independent influencing factors of postoperative HCP in HICH patients,and receiver operating characteristic curve(ROC)analysis was used to analyze the optimal cut-off values of related independent influencing factors.Result:Among 172 HICH patients,42 cases(24.4%)had postoperative HCP.There were significant differences in the hypertension course,hematoma volume,hematoma breaking into ventricles,preoperative Glasgow coma score(GCS),modified Graeb score(mGS),timing of enteral nutrition and intracranial infection between two groups(P<0.05).logistic regression analysis showed that the hypertension course,hematoma breaking into ventricles,preoperative GCS,preoperative mGS,timing of enteral nutrition and intracranial infection were independent influencing factors of HCP in HICH patients(P<0.05).ROC analysis showed that the cut-off values of hypertension course,preoperative GCS and mGS were 6.5 years,8.5 scores and 7.5 scores,respectively.Conclusion:Hypertension course,preoperative GCS,mGS,concurrent intracranial infection,delayed enteral nutrition and hematoma breaking into ventricles are independent influencing factors for postoperative HCP in HICH patients,early identification and management of high-risk patients based on relevant risk factors should be carried out,and targeted intervention measures should be taken to reduce the occurrence of HCP.
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