急性脑外伤患者早期降压治疗的临床分析  

Clinical Analysis of Early Anti-hypertensive Therapy in the Patients of Acute Cerebral Injury

作　　者：季泰令[1] 张波[1] 张贺[1] 杨艇舰[1] 

机构地区：[1]潍坊医学院附属医院神经外科,山东潍坊261031

出　　处：《海南医学》2006年第6期35-36,共2页Hainan Medical Journal

摘　　要：目的探讨既往患有高血压的急性脑外伤患者早期降压幅度与疗效的关系。方法对既往患有高血压的脑外伤患者,外伤后早期血压控制水平与基础血压水平进行比较,分析降压幅度与疗效的关系。结果既往患有高血压的脑外伤患者急性期血压均有不同程度的升高,血压控制水平收缩压在基础收缩压之上0～20mmHg和/或舒张压在基础舒张压之上0～10mmHg的患者伤后7天CT下损伤灶体积扩展明显小于其它组患者(P<0.05,P<0.01),而且格拉斯哥昏迷评分(GCS)亦显著优于其它组(P<0.05,P<0.01)。结论既往患有高血压病的脑外伤患者急性期降压治疗不宜过高或过低,在高于基础血压水平0～20/0～10mmHg时可能能减轻继发性脑损害,有利于患者的预后。Objective To investigate the scope of early anti-hypertensive therapy in the patients of acute cerebral injury with history hypertension. Methods To take notes the level of blood pressure before and after acute cerebral injury, anlysis the relation between the effects and the scope of early anti-hypertensive therapy. Results The blood pressure of patients with acute cerebral injury was higher than before injury, MterTdays injury, the area of injury spreading and GCS was better in the acute cerebral injury patients whose the scope of anti-hypertension was higher at SBP 0-20mmHg er/and DBP 0-10mmHg than before injury. Conclusions The scope of anti-hypertension couldn＇t too higher or too lower in acute cerebral injury patients with history hypertension. After cerehral injury, the blood pressure is higher 0-20/0-10mmHg than before injury, the efficacy is better.

关 键 词：脑外伤 高血压 治疗 

分 类 号：R651.15[医药卫生—外科学]