论文部分内容阅读
目的探讨脑出血患者病死率与发病早期不同血压水平的关系。方法选择2006年2月-2012年6月在我院住院、符合入选标准及排除标准的患者120例,经头颅CT证实为基底节区脑出血,血肿体积20～40 mL,收缩压<200 mm Hg(1 mm Hg=0.133 kPa),舒张压<110 mm Hg。按照中国高血压分级标准(1级高血压:收缩压140～159 mm Hg或舒张压90～99 mm Hg;2级高血压:收缩压160～179 mm Hg或舒张压100～109 mmHg;3级高血压:收缩压≥180 mm Hg或舒张压≥110 mm Hg)将患者分组,各组采用降颅内压、营养神经、维持水电解质平衡、对症治疗及康复治疗和康复护理等常规治疗,观察2周内各组病死率。结果 1级高血压组与2级高血压组2周内病死率比较,差异无统计学意义(χ2=0.075,P=0.785);1级高血压组与3级高血压组2周内病死率比较,差异有统计学意义(χ2=5.698,P=0.017);2级高血压组与3级高血压组2周内病死率比较,差异有统计学意义(χ2=4.528,P=0.033)。结论对于早期血压较高的脑出血患者,进行积极的降压治疗,将血压控制在2级高血压水平,可以明显降低病死率。
Objective To investigate the relationship between the mortality of patients with cerebral hemorrhage and different blood pressure levels at the early stage of the disease. Methods A total of 120 patients admitted to our hospital from February 2006 to June 2012 were enrolled in our hospital and met the criteria of inclusion and exclusion criteria. Cerebral hemorrhage was confirmed by skull CT scan. The volume of hematoma was 20 ~ 40 mL and the systolic blood pressure was less than 200 mm Hg (1 mm Hg = 0.133 kPa) and diastolic blood pressure <110 mm Hg. According to the Chinese Hypertension Grading Standard (Grade 1 Hypertension: systolic blood pressure 140 ~ 159 mm Hg or diastolic blood pressure 90 ~ 99 mm Hg; Hypertension 2: systolic blood pressure 160 ~ 179 mm Hg or diastolic blood pressure 100 ~ 109 mmHg; Hypertension: systolic blood pressure ≥180 mm Hg or diastolic blood pressure ≥110 mm Hg). The patients were divided into groups. The intracranial pressure, nutrition nerves, water and electrolyte balance, symptomatic treatment, rehabilitation therapy and rehabilitation nursing were routinely observed. 2 weeks of each group mortality. Results There was no significant difference in the two-week mortality rate between grade 1 hypertension group and grade 2 hypertension group (χ 2 = 0.075, P = 0.785). The mortality rate between grade 1 hypertension group and grade 3 hypertension group within 2 weeks The difference was statistically significant (χ2 = 5.698, P = 0.017). There was significant difference in the 2-week mortality rate between grade 2 hypertension group and grade 3 hypertension group (χ2 = 4.528, P = 0.033). Conclusion In the early stage of high blood pressure in patients with intracerebral hemorrhage, active antihypertensive treatment, the blood pressure control in the level of 2 hypertension, can significantly reduce the case fatality rate.