Objective To investigate the risk factors for rehaemorrhagia after hypertension cerebral
hemorrhage treatment by the frontal drainage cone, so as to provide clinical reference.
Methods Retrospective analysis was used based on data of patients who had rehaemorrhagia
after the frontal drainage cone treatment of hypertension cerebral hemorrhage from January 2013
to February 2015 in People′s Hospital of Qinglong. Patients' gender, age, preoperative blood
pressure, blood glucose, blood lipid level, body mass index, preoperative hematoma volume,
blood coagulation function, preoperative Glasgow Coma Scale (GCS) score, Montreal Cognitive
Assessment (MoCA) scores, the United States National Institutes of Health Stroke Scale (NIHSS)
scores, time between onset and operation, intraoperative bleeding were recorded. The multifactor
and single factor Logistic regression analysis were used to analyze risk factors for rehaemorrhagia
after frontal cone hole drainage treatment of hypertensive cerebral hemorrhage.
Results A total of 100 cases were collected, including 15 cases of postoperative bleeding. The
occurrence rate was 15.0%. The single factor analysis results showed that systolic blood pressure
[(125±12) mmHg vs (146±17) mmHg, P <0.001], preoperative hematoma volume [(58.7±4.5) ml vs
(63.4±6.2) ml, P <0.001], the time between onset to operation [5.1 (6.0) h vs 6.9 (6.2) h, P <0.001],
intraoperative with active bleeding [11 (12.9%) vs 9 (60.0%), P <0.001], and postoperative blood
pressure control rate [60 (70.6%) vs 3 (20.0%), P <0.001] between non-rehaemorrhagia group and
rehaemorrhagia group had significant differences. Multifactor Logistic regression analysis showed that
large preoperative hematoma volume [OR 1.035, 95%CI (1.008, 2.359)], long duration between onset
and operation [OR 1.289, 95%CI (1.027, 6.325)], intraoperative active bleeding [OR 2.154, 95%CI
(1.067, 3.245)] were risk factors for rehaemorrhagia after the frontal cone hole drainage treatment of
hypertensive cerebral hemorrhage, and the postoperative blood pressure control [OR 0.147, 95%CI
(0.004, 0.358)] was the protective factor.
Conclusion Large hematoma volume, long duration between onset and operation, intraoperative
with active bleeding, uncontrolled postoperative blood pressure are risk factors for patients
underwent frontal drainage cone treatment of hypertension cerebral hemorrhage after the high
incidence of bleeding.
