血压管理对自发性脑出血患者预后的影响  

Blood pressure management for prognosis of patients with spontaneous intracerebral hemorrhage

作　　者：吴克松[1] 李伯恩[1] 

机构地区：[1]蚌埠医学院第二附属医院重症医学科,安徽蚌埠233040

出　　处：《淮海医药》2015年第6期521-522,共2页Journal of Huaihai Medicine

摘　　要：目的探讨不同血压管理目标对自发性脑出血急性期患者神经功能缺损的影响。方法回顾分析2013-2015年收住ICU的48例自发性幕上脑出血患者的临床资料,根据血压管理目标值不同分为标准降压组和强化降压组,均在入院1 h内将血压控制在相应水平,治疗3周后采用NIHSS量表评定患者神经功能缺损程度、疗效以及治疗期间发生急性脑血管事件的情况。结果 2组患者治疗期间发生脑血管事件的情况和治疗后神经功能缺损评分差异有显著性(P<0.05)。结论自发性脑出血患者血压控制在理想水平对改善预后有益。Objective To investigate the effect of different managements of blood pressure target on prognosis of patients with spontaneous intracerebral hemorrhage （ ICH） .Methods A retrospective analysis of clinical data from 2013 to 2015 was conducted on 48 patients admitted to the ICU with spontaneous supratentorial hemorrhage.The patients were divided into a standard therapy group and an intensive therapy group according to the blood pressure management objectives.Their blood pressure was controlled in the respective level within 1 hour of admission.After 3 weeks of treatment,the patients were assessed in terms of nerve function impairment（using NIHSS rating scale）,the efficacy of the treatment and acute cerebrovascular e-vents.Results The two groups of patients showed significant difference as for acute cerebrovascular events occurring during the treatment and neurological deficit scores after treatment.Conclusion For spontaneous cerebral hemorrhage patients, blood pressure control at the ideal level is beneficial for improving prognosis.

关 键 词：脑出血 急性期 降压治疗 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]