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目的分析高血压脑出血患者早期强化降压对血肿扩大的影响。方法将77例高血压脑出血患者按降压方式不同分为早期强化降压组(40例)和标准降压组(37例),分别给予强化降压和标准降压。将两组入院时及入院24h后2次头颅CT血肿体积进行比较。结果经入院后24h复查头部CT发现,早期强化降压组血肿扩大发生率为5.0%(2/40),而标准降压组发生率为16.22%(6/37)。两组血肿扩大发生率比较,差异有统计学意义(P<0.05)。结论对高血压脑出血患者早期积极控制血压可防止和减少血肿扩大,减少病死率和致残率。
Objective To analyze the effect of early strengthening antihypertensive treatment on the enlargement of hematoma in patients with hypertensive intracerebral hemorrhage. Methods Totally 77 patients with hypertensive intracerebral hemorrhage were divided into two groups according to the mode of antihypertensive: 40 cases in the early stage and 37 cases in the standard antihypertensive group. Two sets of head CT hematoma volume were compared at admission and 24 hours after admission. Results The CT findings at 24 h after admission showed that the rate of hematoma enlargement was 5.0% (2/40) in the early intensive antihypertensive group and 16.22% (6/37) in the standard antihypertensive group. The incidence of hematoma enlargement between the two groups, the difference was statistically significant (P <0.05). Conclusion The early active control of blood pressure in patients with hypertensive intracerebral hemorrhage can prevent and reduce the expansion of hematoma and reduce the mortality and morbidity.