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目的:探讨脑出血急性期血压对继续出血及预后的影响。方法:脑出血患者182例,根据脑出血后24h内的血压水平分为:血压异常增高组70例,平均动脉压(MAP)>140mmHg(1mmHg=0.133kPa);适宜血压组72例,MAP90～140mmHg;血压偏低组40例,MAP<90mmHg。观察比较3组继续出血的发生率和3个月内的病死率。采用功能独立测量(FIM)对3组患者进行神经功能评分,以评价其预后。结果:适宜血压组继续出血率明显低于血压异常增高组,3个月内的病死率明显低于其他两组,发病3个月后的FIM评分明显高于其他两组。结论:脑出血患者早期维持适宜血压水平可减少继续出血和降低病死率,并改善其预后。
Objective: To investigate the effect of acute cerebral hemorrhage on continuous bleeding and prognosis. Methods: One hundred and eighty-two patients with intracerebral hemorrhage were divided into two groups according to the blood pressure level within 24h after intracerebral hemorrhage: 70 cases with abnormal blood pressure (MAP)> 140mmHg (1mmHg = 0.133kPa); 72 cases with MAP, 140mmHg; 40 cases of low blood pressure group, MAP <90mmHg. Observe and compare the incidence of continuous bleeding in 3 groups and the mortality in 3 months. Three groups of patients were scored for neurological function using functional independent measurement (FIM) to assess their prognosis. Results: The rate of continued bleeding in the appropriate blood pressure group was significantly lower than that in the abnormal blood pressure group. The mortality rate within 3 months was significantly lower than the other two groups. The FIM score after 3 months of onset was significantly higher than the other two groups. CONCLUSIONS: Early maintenance of adequate blood pressure levels in patients with ICH can reduce continued bleeding and mortality, and improve prognosis.