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目的观察63例脑出血患者极度升高血压的降压疗效,评价硝普钠治疗脑出血患者极度升高血压的降压效果。方法选取脑出血患者63例,临床病例均符合中华神经病学制定的诊断标准,并都经头颅CT扫描确诊。随机分为硝普钠治疗组32例,普通治疗组31例。硝普钠治疗组应用静脉注射泵泵入硝普钠,根据血压调整泵入速度,直到达目标值;普通组给予硝苯地平缓释片或卡托普利口服或含服,剂量根据血压可加致最大量。结果硝普钠治疗组有效27/32例,有效率84.38﹪;普通治疗组15/31例,有效率48.39﹪;χ2=9.18,P<0.01,差异有统计学意义。结论结果显示硝普钠控制脑出血极度升高的血压疗效确切,效果优于普通治疗组。
Objective To observe the antihypertensive effects of extreme hypertension in 63 patients with cerebral hemorrhage and evaluate the antihypertensive effects of nitroprusside in patients with cerebral hemorrhage. Methods Sixty-three patients with intracerebral hemorrhage were selected. The clinical cases were all in line with the diagnostic criteria of Chinese Neurology and were confirmed by CT scan. Randomly divided into sodium nitroprusside treatment group 32 cases, 31 cases of ordinary treatment group. Sodium nitroprusside treatment group intravenous injection pump sodium nitroprusside, according to blood pressure to adjust the pump speed, until the target value; general group given nifedipine sustained release tablets or captopril oral or buccal, the dose according to the blood pressure can Increase the maximum amount. Results The sodium nitroprusside group was effective in 27/32 cases, with an effective rate of 84.38%. In the general treatment group, 15/31 cases had an effective rate of 48.39%, χ2 = 9.18, P <0.01, the difference was statistically significant. Conclusion The results show that sodium nitroprusside is extremely effective in controlling the blood pressure of cerebral hemorrhage and its effect is better than that of the common treatment group.