Factors influencing prognosis of hypertensive intracerebral hemorrhage after minimally invasive surgical treatment under neuroendoscope
Li Xiaoteng
Chen Rongbin
Li Yiming
Han Kaiwei
Wang Junyu
Dong Yan
Yu Mingkun
Hou Lijun
Abstract：Objective To investigate the prognostic factors and their relationships of the patients undergoing minimally invasive surgical treatment under neuroendoscope for supratentorial hematoma due to hypertensive intracerebral hemorrhage (HICH) .Methods Clinical data of 109 patients with HICH undergoing minimal invasive surgery with neuroendoscopy were analyzed retrospectively. The patients were divided into good prognosis group (n = 76) with GOS score 3 to 5 and poor prognosis group (n = 33) with GOS score 1 to 2. The influences of mean arterial pressure (MAP) , volume of hematoma, GCS and NIHSS score at admission on prognosis were analyzed statistically. Results There were significant differences in MAP, volume of hematoma, GCS and NIHSS scores at admission between the two groups (P ＜ 0.05) . Multivariate Logistic regression analysis revealed that MAP (OR = 0.944, 95％ CI = 0.897 to 0.994, P = 0.030) and NIHSS (OR = 0.857, 95％ CI = 0.749 to 0.982, P = 0.026) were independent predictors for prognosis. The hematoma volume were significantly positively correlated with NIHSS score (r = 0.688, P ＜ 0.001) , and significantly negatively correlated with GCS score (r =-0.780, P ＜ 0.001) . Conclusions The MAP and NIHSS can be used as independent predictors in estimating the prognosis of HICH by minimally invasive surgical treatment under neuroendoscope. The hematoma volume is more significantly correlated with GCS and NIHSS, which can reflect the severity of illness and nerve function impairment of HICH.
Keywords：intracranial hemorrhagehypertensivemean arterial pressureNIHSSGCSprognosis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 149-151 )