| Abstract |
[Abstract] Objective To investigate the correlation between the characteristics of cerebral hemorrhage hematoma and depression after hematoma removal surgery. Methods A total of 102 patients with intracerebral hemorrhage from March 2022 to March 2024 were treated with hematoma evacuation surgery. Follow-up was conducted for 2 weeks, and the Hamilton Depression Scale (HAMD) was used to assess depression. Patients were divided into a depression group and a non-depression group based on HAMD score thresholds. Demographic characteristics and hematoma characteristics were compared between the two groups, and logistic regression analysis was performed for depression. Results Among 102 patients, 40 had a HAMD score >17 postoperatively, including 28 with mild depression and 12 with moderate depression. The NIHSS score was higher in the depression group than in the non-depression group. There were no statistically significant differences between the two groups in terms of gender, age, comorbidities, or place of residence (P>0.05). The hematoma volume in the depression group was significantly higher than that in the non-depression group. There were statistically significant differences between the two groups in terms of the timing of hematoma evacuation, hematoma evacuation methods, frontal lobe hematoma, temporal lobe hematoma, and thalamic hematoma (P < 0.05). Logistic regression analysis showed that NIHSS scores, craniotomy, hematoma volume, frontal lobe hematoma, and thalamic hematoma were associated with depression after hematoma evacuation. Conclusion The incidence of depression after intracerebral hemorrhage hematoma evacuation surgery is relatively high, with mild to moderate depression being the most common. Factors associated with postoperative depression include poor neurological function, craniotomy, large hematoma volume, and hematomas in the frontal lobe or thalamus.
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