| Abstract |
[Abstract] Objective To investigate depression and its risk factors after hematoma removal in patients with hypertensive cerebral hemorrhage. Methods Eighty-five patients with hypertensive cerebral hemorrhage in Huainan Chaoyang Hospital from December 2021 to June 2023 were included for depression assessment after hematoma removal and were divided into the depressed group as well as the no-depression group. Univariate analysis was performed to analyze the medical history data of patients in both groups, such as gender, age, and education level. Independent influencing factors of postoperative depression were investigated by multifactorial logistics regression analysis. Results Depression was detected in 30 cases (35.29%) of 85 hypertensive cerebral hemorrhage patients after hematoma removal. There were significant differences between the depressed and non-depressed groups in terms of age, education, the National Institutes of Health Stroke Scale (NIHSS), hematoma location, bleeding volume, personality type, aphasia, and other information (P<0.05). Differences in gender, marriage, and place of residence between the two groups were not significant (P>0.05). Multifactorial analysis showed that NHISS score ≥15, frontal lobe hematoma, introverted personality, aphasia, and elementary school education level were independent influences on postoperative depression. Conclusion The detection rate of depression after hematoma removal in patients with hypertensive cerebral hemorrhage is high, and the influencing factors include the degree of neurological deficit and the location of the hematoma, etc., and postoperative attention should be focused on the psychological status of patients at high risk of depression.
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