【摘 要】
：
目的:分析早期强化降压治疗对高血压脑出血患者血肿扩大的影响.方法:选择本院2011年6月到2012年6月急诊入院的高血压脑出血患者80例,按降压方式不同随机分为早期强化降压组(40例)和指南标准降压组(40例),分别给予强化降压和标准降压治疗.观察2组患者入院时及治疗24小时后2次头颅CT血肿体积变化情况.结果:早期强化降压组发病0～24h平均收缩压控制在145mmHg,24h内血肿体积扩大3例(
【机 构】
：
南京医科大学附属南京医院(南京市第一医院)神经内科 210006
【出 处】
：
中华医学会第十六次全国神经病学学术会议
论文部分内容阅读
目的:分析早期强化降压治疗对高血压脑出血患者血肿扩大的影响.方法:选择本院2011年6月到2012年6月急诊入院的高血压脑出血患者80例,按降压方式不同随机分为早期强化降压组(40例)和指南标准降压组(40例),分别给予强化降压和标准降压治疗.观察2组患者入院时及治疗24小时后2次头颅CT血肿体积变化情况.结果:早期强化降压组发病0～24h平均收缩压控制在145mmHg,24h内血肿体积扩大3例(7.5％);指南标准降压组平均收缩压控制在170mmHg,24h内血肿体积扩大7例(17.5％),2组血肿扩大发生率比较,早期强化降压组明显小于指南标准降压组,差异有统计学意义(P＜0.05).结论:高血压脑出血早期强化降压治疗可预防和减少血肿扩大,降低病死率和致残率,改善预后.
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