论文部分内容阅读
目的对比乌拉地尔与硝普钠对高血压脑出血早期活动性出血的治疗效果。方法 186例急性早期(6h内)自发性高血压脑出血患者,分别采用乌拉地尔或硝普钠静脉滴注治疗,观察疗效。结果治疗后两组病情改善,头颅CT检查均显示血肿得到控制。乌拉地尔组在血肿体积控制上优于硝普钠组(P<0.05),CSS评分乌拉地尔组(6.5±3.7)分高于硝普钠组(3.6±2.8)分(P<0.05),ADL评分两组相近。结论乌拉地尔治疗急性早期自发性高血压脑出血能够比硝普钠更有效地控制颅内出血,恢复效果更好。
Objective To compare the curative effect of urapidil and sodium nitroprusside on early active bleeding in patients with hypertensive intracerebral hemorrhage. Methods 186 cases of acute early (6h) patients with spontaneous hypertensive intracerebral hemorrhage were treated with intravenous infusion of urapidil or sodium nitroprusside to observe the curative effect. Results After treatment, the two groups improved their condition, and cranial CT examination showed that the hematoma was controlled. Urapidil group was superior to sodium nitroprusside group in hematoma volume control (P <0.05), and CSS score in urapidil group (6.5 ± 3.7) was higher than that of sodium nitroprusside group (3.6 ± 2.8) (P <0.05) , ADL score similar to the two groups. Conclusion Urapidil treatment of acute early spontaneous hypertensive intracerebral hemorrhage can be more effective than sodium nitroprusside control intracranial hemorrhage, the recovery effect is better.