Analysis of risk factors of hypertension combined with cerebral hemorrhage_West China Medical Journal

Authors：

 LIU liuping

Emergency Department, Dazhu People’s Hospital, Dazhu, Sichuan 635100, P. R. China;

Corresponding author：

LIU liuping, Email: 850741772@qq.com

Keywords：

Hypertension; Cerebral hemorrhage; Risk factors; Medication compliance

DOI：

10.7507/1002-0179.201705077

Video：

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Objective To analyze the risk factors of hypertension combined with cerebral hemorrhage. Methods From May 2015 to October 2016, 92 hypertension patients with cerebral hemorrhage (group A) were enrolled; simultaneously, 110 hypertension patients without cerebral hemorrhage (group B) were included. We analyzed retrospectively the clinical data of two groups and the risk factors of hypertension complicated with cerebral hemorrhage. Results The results of univariate analysis showed that the ratios of patients in group A with the following indexes, >65 years old, body mass index >30 kg/m², >7-year smoking history, triglyceride level >1.7 mmol/L, cholesterol level >5.72 mmol/L, high density lipoprotein level >0.9 mmol/L, and bad medication compiance, were much more higher than those in group B (P<0.05). The rusults of multivariate analysis showed that smoking history, diabetes mellitus history, hypertension history, triglycerides level, cholesterol level, bad medication compliance were the risk factors of hypertension combined with cerebral hemorrhage (P<0.05). Conclusions The risk factors of hypertension combined with cerebral hemorrhage include smoking history, diabetes mellitus history, hypertension history, triglyceride level, cholesterol level, and medication compliance. We shoud pay more attention to these factors in clinical practice.

Citation： LIU liuping. Analysis of risk factors of hypertension combined with cerebral hemorrhage. West China Medical Journal, 2017, 32(6): 824-827. doi: 10.7507/1002-0179.201705077 Copy

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2.	Shaya M, Dubey A. Factors influencing outcome in intracerebral hematoma: a simpl, reliable, and accurate method to grade intracerebral hemorrhage. Surg Neurol, 2012, 63(4): 343-348.
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4.	Kwan J, Hand P. Infection after acute stroke is associated with poor short-term outcome. Acta Neurol Scand, 2007, 115(5): 331-338.
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6.	Andersen KK, Olsen TS, Dehlendorff C, et al. Hemorrhagic and ischemic strokes compared stroke severity, mortality, and risk factors. Stroke, 2009, 40(6): 2068-2072.
7.	Zeng QS, Kang XS, Li CF, et al. Detection of hemorrhagic hypointense foci in radiation injury region using susceptibility-weighted imaging. Acta Radiol, 2011, 52(1): 115-119.
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12.	武阳丰, 周北凡, 李莹, 等. 缺血性心血管病: 一个反映血脂异常潜在危险的新指标. 中华心血管病杂志, 2004, 32(2): 173-176.
13.	王薇, 赵冬, 刘静, 等. 中国 35～64 岁人群心血病危险因素与发病危险预测模型的前瞻性研究. 中华心血管杂志, 2003, 31(12): 902-908.
14.	陈灏珠, 金雪娟. 我国人群血脂水平现状及其对策. 中国工程科学, 2002, 4(11): 1-6.
15.	刘静, 赵冬, 秦兰萍, 等. 低密度脂蛋白胆固醇与心血管病发病关系的前瞻性研究. 中华心血管病杂志, 2001, 29(9): 561-565.
16.	李莹, 陈志红, 周北凡, 等. 血脂和脂蛋白水平对我国中年人群缺血性心血管病事件的预测作用. 中华心血管病杂志, 2004, 32(7): 643-647.
17.	Wu Z, Yao C, Zhao D, et al. Sino-MONICA project: a collaborative study on trends and determinants in cardiovascular diseases in China, Part i: morbidity and mortality monitoring. Circulation, 2011, 103(3): 462-468.
18.	Vermeij FH, Scholte Op Reimer WJ, De Man P, et al. Stroke-associated infection is an independent risk factor for poor outcome after acute ischemic stroke: data from the Netherlands Stroke Survey. Cerebrovasc Dis, 2009, 27(5): 465-471.
19.	Najarian RM, Sullivan LM, Kannel WB, et al. Metabolic syndrome compared with type 2 diabetes mellitus as a risk factor for stroke-The Framingham offspring study. Arch Intern Med, 2006, 166(1): 106-111.
20.	Kasiske BL, O’Donnell MP, Schmitz PG, et al. Renal injury of diet-induced hypercholesterolemia in rats. Kidney Int, 1990, 37(3): 880-891.

1. 王建生, 刘诗瑶. 我国 18 岁以上居民高血压患病率的区间估计. 中国健康教育, 2010, 26(11): 839-841.
2. Shaya M, Dubey A. Factors influencing outcome in intracerebral hematoma: a simpl, reliable, and accurate method to grade intracerebral hemorrhage. Surg Neurol, 2012, 63(4): 343-348.
3. Qureshi AI, Palesch YY, Martin R, et al. Systolic blood pressure reduction and risk of acute renal injury in patients with intracerebral hemorrhage. Am J Med, 2012, 125(7): 718.e1-718.e6.
4. Kwan J, Hand P. Infection after acute stroke is associated with poor short-term outcome. Acta Neurol Scand, 2007, 115(5): 331-338.
5. 中华神经科学会, 中华神经外科学会. 各类脑血管疾病诊断要点. 中华神经科杂志, 1996, 29(6): 379-380.
6. Andersen KK, Olsen TS, Dehlendorff C, et al. Hemorrhagic and ischemic strokes compared stroke severity, mortality, and risk factors. Stroke, 2009, 40(6): 2068-2072.
7. Zeng QS, Kang XS, Li CF, et al. Detection of hemorrhagic hypointense foci in radiation injury region using susceptibility-weighted imaging. Acta Radiol, 2011, 52(1): 115-119.
8. Oliveras A, Roquer J, Puig JM, et al. Stroke in renal transplant recipients: epidemiology, predictive risk factors and outcome. Clin Transplant, 2003, 17(1): 1-8.
9. 潘宏华, 王晖, 边平达, 等. 136 例老年高血压患者降压药物与血压控制率调查. 中国药师杂志, 2011, 25(6): 22-26.
10. 陈灏珠, 林果为. 实用内科学. 北京: 人民卫生出版社, 2009: 1287-1291.
11. 钱文琪, 龚兰生. Losartan 治疗轻中度原发性高血压临床观察. 国外医学心血管疾病分册, 2000, 15(8): 327-328.
12. 武阳丰, 周北凡, 李莹, 等. 缺血性心血管病: 一个反映血脂异常潜在危险的新指标. 中华心血管病杂志, 2004, 32(2): 173-176.
13. 王薇, 赵冬, 刘静, 等. 中国 35～64 岁人群心血病危险因素与发病危险预测模型的前瞻性研究. 中华心血管杂志, 2003, 31(12): 902-908.
14. 陈灏珠, 金雪娟. 我国人群血脂水平现状及其对策. 中国工程科学, 2002, 4(11): 1-6.
15. 刘静, 赵冬, 秦兰萍, 等. 低密度脂蛋白胆固醇与心血管病发病关系的前瞻性研究. 中华心血管病杂志, 2001, 29(9): 561-565.
16. 李莹, 陈志红, 周北凡, 等. 血脂和脂蛋白水平对我国中年人群缺血性心血管病事件的预测作用. 中华心血管病杂志, 2004, 32(7): 643-647.
17. Wu Z, Yao C, Zhao D, et al. Sino-MONICA project: a collaborative study on trends and determinants in cardiovascular diseases in China, Part i: morbidity and mortality monitoring. Circulation, 2011, 103(3): 462-468.
18. Vermeij FH, Scholte Op Reimer WJ, De Man P, et al. Stroke-associated infection is an independent risk factor for poor outcome after acute ischemic stroke: data from the Netherlands Stroke Survey. Cerebrovasc Dis, 2009, 27(5): 465-471.
19. Najarian RM, Sullivan LM, Kannel WB, et al. Metabolic syndrome compared with type 2 diabetes mellitus as a risk factor for stroke-The Framingham offspring study. Arch Intern Med, 2006, 166(1): 106-111.
20. Kasiske BL, O’Donnell MP, Schmitz PG, et al. Renal injury of diet-induced hypercholesterolemia in rats. Kidney Int, 1990, 37(3): 880-891.

West China Medical Journal

Analysis of risk factors of hypertension combined with cerebral hemorrhage

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