Journal of International Psychiatry

Objective: to analyze the incidence and influencing factors of delirium in patients with hypertensive cerebral hemorrhage after operation. Methods: from October 2017 to October 2019, 100 patients with hypertensive intracerebral hemorrhage included in our hospital were taken as the observation subjects in this study, and the incidence and influencing factors of postoperative delirium were investigated by self-designed questionnaire. Results: 30 of 100 patients with hypertensive cerebral hemorrhage developed delirium after operation, the incidence was as high as 30.00%. One factor suggested that delirium occurred in patients with hypertensive cerebral hemorrhage after operation, which was related to the amount of cerebral hemorrhage, the length of operation, the age of patients, the time of ventilator-assisted ventilation, the score of GCS (Glasgow Coma index) and hypoxemia (P < 0.05). Logistic multivariate analysis showed that the independent high risk factors of postoperative delirium of hypertensive intracerebral hemorrhage included the amount of intracerebral hemorrhage, the length of operation, the age of patients, postoperative hypoxemia, postoperative GCS score, and ventilator-assisted ventilation was the protective factor (P < 0.05). Of the 30 patients with delirium, 16 survived for three months with a survival rate of 53.33%. Conclusion: the incidence of delirium is higher in patients with hypertensive cerebral hemorrhage after operation, which is related to a variety of factors and the survival rate of patients.

hypertension; cerebral hemorrhage; postoperative delirium; influencing factors