Analysis on Risk Factors for Recurrent Hemorrhage after Surgery for Hypertensive Cerebral Hemorrhage

Objectives To analyze the risk factors for recurrent hemorrhage after craniotomy for hypertensive cerebral hemorrhage (HCH).Methods Clinical data from 162 HCH patients who underwent surgery were retrospectively analyzed for the correlation between recurrent hemorrhage and gender,age,duration of hypertension,history of diabetes mellitus and hypercholesterolemia,site and volume of hemorrhage and post-surgical systolic and diastolic pressure.Results Post-surgical recurrent hemorrhage was found in 24 patients.With multi-variate regression analysis,history of diabetes, long-term hypertension and higher post-surgical systolic pressure were proved positively correlated to the incidence of recurrent hemorrhage after craniotomy for hypertensive cerebral hemorrhage(P<0.05 ).Conclusions Risk factors for recurrent hemorrhage after craniotomy for hypertensive cerebral hemorrhage are history of diabetes,long-term hypertension and higher post-surgical systolic pressure.Patients with diabetes and hypertension are at higher risk for cerebral hemorrhage or post-surgical recurrent hemorrhage.Effective control on blood pressure after surgery can reduce the incidence of recurrent hemorrhage after surgery for hypertensive cerebral hemorrhage.