早期降压对高血压脑出血患者血肿扩大的影响  

The influence of early blood pressure control on haematoma expansion of patients with hypertensive cerebral hemorrhage

作　　者：邱焕珍 

机构地区：[1]海南昌江黎族自治县中西医结合医院,昌江572700

出　　处：《中国实用神经疾病杂志》2014年第16期34-35,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期降压对高血压脑出血患者血肿扩大的控制效果。方法将我院收治的206例高血压脑出血患者为研究对象。将患者按照处理方式不同随机分为观察组和对照组各103例,比较2组疗效。结果观察组血压控制明显优于对照组,差异有统计学意义(P<0.01);观察组血肿扩大比例3.88%,对照组为55.34%,2组差异有统计学意义(P<0.01)。2组发病后21d进行NIHSS评分比较,观察组明显低于对照组,2组差异有统计学意义(P<0.01)。结论早期及时进行降压能够有效阻止高血压脑出血患者血肿扩大,有重大临床意义。Objective To explore influence of early blood pressure control on haematoma expansion of patients with hyper- tensive cerebral hemorrhage. Methods 206 cases of patients with hypertensive cerebral hemorrhage in our hospital were select- ed as the research object of this study. The patients according to different treatment were randomly divided into observation group and control group （103 cases each）. Curative effect of two groups was compared. Results Blood pressure control of ob- servation group was obviously better than that of the control group, and significant difference was found in two groups （P〈0.01）; the clinical changes were compared at the same time. In the observation group, hematoma was better than that of the control group. The proportion of hematoma expansion, in the former and the latter was 3.88% and 55.34% respectively, and the difference between the two groups was significant（P〈0.01）. After onset of 21 d, NIHSS scores of two groups were com- pared, and NIHSS scores of observation group was significantly lower than that of the control group, and significant difference was found in two groups （P〈0. 01）. Conclusion Timely blood pressure control can effectively prevent hematoma expansion of patients with hypertensive cerebral hemorrhage, and is of great help to the treatment of the disease.

关 键 词：早期降压 高血压 脑出血 血肿 

分 类 号：R743.34[医药卫生—神经病学与精神病学]