出血性脑卒中患者入院时血压与预后的关系  

Relationship between admission blood pressure and prognosis of patients with intracerebral hemorrhage

作　　者：吕少平[1] 管勇[2] 

机构地区：[1]青岛大学医学院第二附属医院,山东青岛266042 [2]昆明医学院

出　　处：《山东医药》2001年第1期11-12,共2页Shandong Medical Journal

摘　　要：为研究急性出血性脑卒中患者入院时血压与预后之间的关系 ,对 13 61例脑出血患者入院时死亡组的平均血压与幸存组的平均血压作了比较。结果显示 ,死亡组入院时的平均血压壳核出血 ( 17.95± 4 .5k Pa)和丘脑出血 ( 17.2 9± 3 .0 6k Pa)明显高于幸存组 (壳核出血 16.3 6± 2 .79k Pa、丘脑出血 13 .4 3± 2 .93 k Pa) ,P<0 .0 1;而脑叶出血 (死亡组 15.4 3± 2 .93 k Pa、幸存组 15.3 0± 2 .79k Pa)、小脑出血 (死亡组 15.69± 3 .86k Pa,幸存组 16.4 9± 2 .93 k Pa)和桥脑出血 (死亡组 18.2 2± 3 .72 k Pa,幸存组 17.16± 3 .19k Pa)者平均血压与预后之间无相关性。提示壳核出血和丘脑出血患者死亡率升高与入院时血压升高有关 ,脑叶出血、小脑出血及桥脑出血患者的平均血压与预后无相关性。To investigate the relationship between admission blood pressure and prognosis of patients with acute intracerebral hemorrhage A total of 1361 patients with intra cerebral hemorrhage were examined The mean admission blood pressure were compared in patients with a fatal outcome and patients who survived Results showed that the mean admission blood pressure of patients with a fatal outcome among those with putaminal and thalamic hemorrhage were significantly highier than that of those with a nonfatal outcome No correlation between mean blood pressure and outcome was observed in the patients with subcortial,cerebellar and pontine hemorrhage It suggests that an increased mean blood pressure on admission in putaminal and thalamic hemorrhage are related to increased mortality,while in patients with subcortical,cerebellar,and pontine hemorrhage,the mean blood pressure is not related to the clinical outcome

关 键 词：血压 脑出血 预后 相互关系 

分 类 号：R743.340.2[医药卫生—神经病学与精神病学]