论文部分内容阅读
目的探讨脑出血患者早期降压治疗对血肿增大影响。方法选择入院时血压>180/110mmHg的脑出血患者138例,随机分为强化降压组和标准降压组,分别给予强化降压和指南标准降压治疗。观察24h后两组患者血肿体积的变化情况。结果强化降压组早期平均收缩压控制为148mmHg,24h内血肿扩大者5例(7.1%);标准降压组平均收缩压控制在180mmHg,24h内内血肿扩大者12例(17.6%),两组比较,差异有统计学意义(P<0.01)。结论高血压脑出血早期强化降压治疗对控制血肿扩大有益。
Objective To investigate the effect of early antihypertensive treatment on hematoma in patients with intracerebral hemorrhage. Methods 138 patients with intracerebral hemorrhage> 180 / 110mmHg on admission were randomly divided into intensive antihypertensive group and standard antihypertensive group, and were given antihypertensive treatment and standard antihypertensive treatment respectively. The changes of hematoma volume in two groups were observed 24 hours later. Results The average systolic blood pressure in the controlled hypotensive group was 148mmHg in early stage and in 7.1% in 5 hours (7.1%) in 24 hours. The average systolic blood pressure was 180mmHg in standard hypotensive group, 12 cases (17.6%) in 12 hours Group, the difference was statistically significant (P <0.01). Conclusions Early treatment of hypertensive intracerebral hemorrhage may be helpful in controlling hematoma enlargement.