摘要
目的探讨高血压性脑出血应用甘露醇对血肿扩大观察指标的评估。方法将93例同期入院的高血压性脑出血患者随机分为两组，即甘露醇组（A组）46例，入院24h内应用甘露醇；非甘露醇组（B组）47例。对两组患者治疗前后的监护指标进行评估。结果两组患者血压、心率、呼吸和血氧饱和度有显著性差异（P〈0．01），A组血肿扩大发生率高于B组（P〈0．05）。两组患者脑CT神经功能缺损评分及病情稳定时间、监护时间比较有显著性差异（P〈0．01）。结论高血压性脑出血持续动态观察评估，为早期合理应用甘露醇提供临床治疗依据，对于减少血肿扩大，降低病死率和致残率，改善患者预后有重要意义。
Objective Discussing the appraisal of target of treating hypertension cerebral hemorrhage by using the mannitol. Methods Stochastically dividing 93 cerebral hemorrhage patients who is hospitalized at the same time into two groups, that is the mannitol group （ ＂ A＂ group） and the non - mannitol group （ ＂ B＂ group） ;＂ A＂ group which includs 46 cases is treated by using the mannitol within 24 hours,＂ B＂ group includs 47 cases, both groups have the appraisal of the guardianship target around the treatment. Results Result suggests that there is significance difference （P 〈 0. 01 ） of the blood pressure, the heart rate, the breath and the blood oxygen degree of saturation between the two groups. The rate of the occurrence of the haematoma expansion of ＂ A＂ group is higher than that of ＂ B＂ group （P 〈 0. 05 ） . There is significance difference （ P 〈 0. 01 ） of the damage grading of the nerve function of the brain CT, the time of the condition is stable and the time of the guardianship between the two groups. Conclusion The continues dynamic observation appraisal of the hypertension cerebral hemorrhage provides the clinical care basis for using the mannitol reasonably and early and it has important meaning of reducing the expanding of the haematoma, cuting the fatality rate and crippling rate, improving the prognosis of the patients.
出处
《国际护理学杂志》
2009年第2期168-171,共4页
international journal of nursing
关键词
甘露醇
脑出血
高血压
观察指标
评估
Mannitol
Cerebral hemorrhage
Hypertension
Observation target
Appraisal
