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目的探讨高血压脑出血患者早期降压对血肿扩大的影响。方法 2008年1月至2011年1月收治的高血压脑出血患者241例,依据CT检测明确诊断为血肿扩大患者85例(血肿扩大组),血肿扩大发生率35.25;血肿无变化156例(血肿无变化组)。对两组病例进行回顾性观察,观察两组病例血压情况并进行比较。结果两组平均收缩压、平均舒张压比较P<0.05,差异有统计学意义。结论在高血压脑出血早期积极进行控制血压,减少再出血,避免血肿扩大,能够有效的降低病死率及致残率。
Objective To investigate the effect of early antihypertensive treatment on the enlargement of hematoma in patients with hypertensive intracerebral hemorrhage. Methods A total of 241 patients with hypertensive intracerebral hemorrhage admitted from January 2008 to January 2011 were diagnosed as 85 cases of hematoma expansion (hematoma enlargement group) and 35.25 cases of hematoma enlargement No change group). The two groups of patients were retrospectively observed, blood pressure was observed in two groups and compared. Results The average systolic blood pressure and average diastolic blood pressure in the two groups were significantly lower than those in the control group (P <0.05). The difference was statistically significant. Conclusions In the early stage of hypertensive intracerebral hemorrhage, we can actively control the blood pressure, reduce the rebleeding, and avoid the expansion of the hematoma, which can effectively reduce the mortality and morbidity.