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目的:探讨早期血压管理对减少高血压脑出血继续出血的效果,及对神经功能缺失程度的影响。方法:410例高血压脑出血患者,进行动态CT检查,对血肿净增比例≥33%以上者,结合临床表现进行分析。对血肿未扩大患者进行神经功能缺损评分,分析其意义。结果:早期血压管理组血肿扩大率明显低于早期血压未控制组,两组神经功能缺损评分差值无显著性差异。结论:早期血压管理对降低高血压脑出血的早期活动性出血有效,对神经功能缺失程度无显著影响。
Objective: To explore the effect of early blood pressure management on reducing hemorrhage after hypertensive intracerebral hemorrhage and its effect on the degree of neurological deficit. Methods: 410 patients with hypertensive intracerebral hemorrhage underwent dynamic CT examination, the proportion of hematoma increased by more than 33% or more, combined with clinical manifestations were analyzed. The patients with non-expanding hematoma neurological deficit score, analyze its significance. Results: The rate of hematoma expansion in early blood pressure management group was significantly lower than that in early blood pressure control group. There was no significant difference between the two groups in neurological deficit score. Conclusion: Early blood pressure management is effective in reducing early active bleeding in hypertensive intracerebral hemorrhage and has no significant effect on the extent of neurological deficit.