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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

1.	王建生, 劉詩瑤. 我國 18 歲以上居民高血壓患病率的區間估計. 中國健康教育, 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.	中華神經科學會, 中華神經外科學會. 各類腦血管疾病診斷要點. 中華神經科雜志, 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.	潘宏華, 王暉, 邊平達, 等. 136 例老年高血壓患者降壓藥物與血壓控制率調查. 中國藥師雜志, 2011, 25(6): 22-26.
10.	陳灝珠, 林果為. 實用內科學. 北京: 人民衛生出版社, 2009: 1287-1291.
11.	錢文琪, 龔蘭生. Losartan 治療輕中度原發性高血壓臨床觀察. 國外醫學心血管疾病分冊, 2000, 15(8): 327-328.
12.	武陽豐, 周北凡, 李瑩, 等. 缺血性心血管病: 一個反映血脂異常潛在危險的新指標. 中華心血管病雜志, 2004, 32(2): 173-176.
13.	王薇, 趙冬, 劉靜, 等. 中國 35～64 歲人群心血病危險因素與發病危險預測模型的前瞻性研究. 中華心血管雜志, 2003, 31(12): 902-908.
14.	陳灝珠, 金雪娟. 我國人群血脂水平現狀及其對策. 中國工程科學, 2002, 4(11): 1-6.
15.	劉靜, 趙冬, 秦蘭萍, 等. 低密度脂蛋白膽固醇與心血管病發病關系的前瞻性研究. 中華心血管病雜志, 2001, 29(9): 561-565.
16.	李瑩, 陳志紅, 周北凡, 等. 血脂和脂蛋白水平對我國中年人群缺血性心血管病事件的預測作用. 中華心血管病雜志, 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, 劉詩瑤. 我國 18 歲以上居民高血壓患病率的區間估計. 中國健康教育, 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. 中華神經科學會, 中華神經外科學會. 各類腦血管疾病診斷要點. 中華神經科雜志, 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. 潘宏華, 王暉, 邊平達, 等. 136 例老年高血壓患者降壓藥物與血壓控制率調查. 中國藥師雜志, 2011, 25(6): 22-26.
10. 陳灝珠, 林果為. 實用內科學. 北京: 人民衛生出版社, 2009: 1287-1291.
11. 錢文琪, 龔蘭生. Losartan 治療輕中度原發性高血壓臨床觀察. 國外醫學心血管疾病分冊, 2000, 15(8): 327-328.
12. 武陽豐, 周北凡, 李瑩, 等. 缺血性心血管病: 一個反映血脂異常潛在危險的新指標. 中華心血管病雜志, 2004, 32(2): 173-176.
13. 王薇, 趙冬, 劉靜, 等. 中國 35～64 歲人群心血病危險因素與發病危險預測模型的前瞻性研究. 中華心血管雜志, 2003, 31(12): 902-908.
14. 陳灝珠, 金雪娟. 我國人群血脂水平現狀及其對策. 中國工程科學, 2002, 4(11): 1-6.
15. 劉靜, 趙冬, 秦蘭萍, 等. 低密度脂蛋白膽固醇與心血管病發病關系的前瞻性研究. 中華心血管病雜志, 2001, 29(9): 561-565.
16. 李瑩, 陳志紅, 周北凡, 等. 血脂和脂蛋白水平對我國中年人群缺血性心血管病事件的預測作用. 中華心血管病雜志, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content