Characterization of Patients with Supratentorial Hypertensive Intracerebral Hemorrhage in the Tibetan Plateau over an Altitude of 4000 meters

doi:10.11817/j.issn.1673-9248.2020.02.007

Abstract

Abstract:

Objective

To characterize the patients with supratentorial hypertensive intracerebral hemorrhage (ICH) in the Tibetan Plateau over an altitude of 4000 meters.

Methods

A total of 68 cases with supratentorial hypertensive ICH were retrospectively included in Ali Regional People’s Hospital from January 2017 to September 2018. The clinical and laboratory data were collected. A simple linear correlation analysis was applied to analyze the correlation between the amount of bleeding and sex, age, nationality, time from onset , systolic blood pressure (SBP), diastolic blood pressure (DBP), hemoglobin (Hb), serum triglyceride (TG), and cholesterol. According to computed tomography (CT) findings, 68 cases were divided into the basal ganglia ICH group (33 cases) and the lobar ICH group (35 cases). The characteristics between two groups were analyzed using t-test or χ² test.

Results

The data of sex, age, nationality, time from onset, SBP, DBP, Hb, TG, and cholesterol of 68 cases on admission did not show any definitive correlation with the hematoma volumes (P＞0.05). The SBP and DBP of patients in the basal ganglia ICH group were significantly higher than that in the lobar ICH group, respectively [(184.9±28.5) mmHg vs (164.6±24.4) mmHg; (113.0±18.1) mmHg vs (103.0±18.4) mmHg] (t=0.499, 0.486; P=0.002, 0.033).

Conclusion

The relevant factors of hematoma volumes in patients with ICH in plateau area were not yet clear. Diastolic and systolic blood pressure of patients in the basal ganglia ICH group was higher than that in those in lobar ICH group.

Key words: Super plateau area, Cerebral hemorrhage, Hemorrhage characters

Zhongzheng He, Jiankang Ma, Sang Gong, Gongsangmingjiu, Cidanzhaxi, Zhiyong Jin, Caihong Ran, Hong Wang, Yu Wang, Qianfa Long. Characterization of Patients with Supratentorial Hypertensive Intracerebral Hemorrhage in the Tibetan Plateau over an Altitude of 4000 meters[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2020, 14(02): 96-99.

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临床资料		数据	相关系数（r）	P值
年龄（岁，±s）		58.2±11.8	0.042	0.734
性别[例（%）]			-0.268	0.071
	男	48（70.6）
	女	20（29.4）
民族[例（%）]			0.242	0.110
	汉族	14（20.6）
	藏族	54（79.4）
发病时间（h，±s）		30.1±42.4	-0.133	0.281
出血位置[例（%）]			0.194	0.203
	基底节区	33（48.5）
	脑叶	35（51.5）
入院收缩压（mmHg，±s）		174.5±28.0	0.184	0.133
入院舒张压（mmHg，±s）		108.0±18.6	0.083	0.502
入院血红蛋白（g/L，±s）		187.6±26.6	0.022	0.861
入院三酰甘油（mmol/L，±s）		1.1±0.5	-0.162	0.186
入院胆固醇（mmol/L，±s）		4.5±0.8	-0.044	0.719

临床资料		数据	相关系数（r）	P值
年龄（岁，±s）		58.2±11.8	0.042	0.734
性别[例（%）]			-0.268	0.071
	男	48（70.6）
	女	20（29.4）
民族[例（%）]			0.242	0.110
	汉族	14（20.6）
	藏族	54（79.4）
发病时间（h，±s）		30.1±42.4	-0.133	0.281
出血位置[例（%）]			0.194	0.203
	基底节区	33（48.5）
	脑叶	35（51.5）
入院收缩压（mmHg，±s）		174.5±28.0	0.184	0.133
入院舒张压（mmHg，±s）		108.0±18.6	0.083	0.502
入院血红蛋白（g/L，±s）		187.6±26.6	0.022	0.861
入院三酰甘油（mmol/L，±s）		1.1±0.5	-0.162	0.186
入院胆固醇（mmol/L，±s）		4.5±0.8	-0.044	0.719

项目		基底节区组（33例）	脑叶组（35例）	统计值	P值
年龄（岁，±s）		58.0±10.9	57.7±13.6	t=0.179	0.924
性别[例（%）]				χ²=0.412	0.520
	男	25（75.8）	23（65.7）
	女	8（24.2）	12（34.3）
民族[例（%）]				χ²=0.179	0.671
	汉族	8（24.2）	6（17.1）
	藏族	25（75.8）	29（82.9）
发病时间（h，±s）		26.1±43.4	34.0±42.4	t=0.327	0.448
吸烟[例（%）]				χ²=0.115	0.734
	是	23	22
	否	10	13
入院收缩压（mmHg，±s）		184.9±28.5	164.6±24.4	t=0.499	0.002
入院舒张压（mmHg，±s）		113.0±18.1	103.0±18.4	t=0.486	0.033
入院血红蛋白（g/L，±s）		182.1±29.6	192.8±23.1	t=0.460	0.100
入院三酰甘油（mmol/L，±s）		1.2±0.7	1.0±0.3	t=0.404	0.243
入院胆固醇（mmol/L，±s）		4.5±0.9	4.6±0.6	t=0.389	0.282
出血量（ml，±s）		39.4±35.0	43.7±34.2	t=0.271	0.612

项目		基底节区组（33例）	脑叶组（35例）	统计值	P值
年龄（岁，±s）		58.0±10.9	57.7±13.6	t=0.179	0.924
性别[例（%）]				χ²=0.412	0.520
	男	25（75.8）	23（65.7）
	女	8（24.2）	12（34.3）
民族[例（%）]				χ²=0.179	0.671
	汉族	8（24.2）	6（17.1）
	藏族	25（75.8）	29（82.9）
发病时间（h，±s）		26.1±43.4	34.0±42.4	t=0.327	0.448
吸烟[例（%）]				χ²=0.115	0.734
	是	23	22
	否	10	13
入院收缩压（mmHg，±s）		184.9±28.5	164.6±24.4	t=0.499	0.002
入院舒张压（mmHg，±s）		113.0±18.1	103.0±18.4	t=0.486	0.033
入院血红蛋白（g/L，±s）		182.1±29.6	192.8±23.1	t=0.460	0.100
入院三酰甘油（mmol/L，±s）		1.2±0.7	1.0±0.3	t=0.404	0.243
入院胆固醇（mmol/L，±s）		4.5±0.9	4.6±0.6	t=0.389	0.282
出血量（ml，±s）		39.4±35.0	43.7±34.2	t=0.271	0.612

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