摘要
目的:探讨自发性脑出血后再次出血与血压控制水平的相关性;方法:按照研究条件严格遴选2006年1月-2010年12月间,我科收治的高血压脑出血患者共计221例,依据其血压控制水平,将其分为<140/80 mmHg,140/80 mmHg-160/100 mmHg两个组别,分别总结两组发生再出血的病例数,对其发生率进行统计学分析(卡方检验),以P<0.05为具有统计学意义;结果:两个组中,患者年龄、性别、GCS评分、出血部位、首次出血量、血肿密度、血肿形状等因素完全匹配,无明显统计学差异(P>0.05),而两组血压控制水平与再出血具有明显的相关性(P<0.05),血压控制水平<140/80 mmHg时,再出血的发生率为15.64%,明显低于140/80 mmHg-160/100 mmHg组的27.17%;结论:高血压脑出血后,患者血压水平控制在正常血压范围内,有望降低患者发生再次出血的风险。
Objective： To investigate the correlation between bleeding after spontaneous intracerebral hemorrhage （SICH） and the control level of blood pressure. Methods： The department admitted a total of 221 cases for patients with hypertensive intracerebral hemor- rhage. After strict selection according to the study conditions, patients were divided into 〈 140/80 mmHg, 140/80 mmHg-160 / 100 mmHg two groups respectively based on their level of blood pressure control. The number of cases of two groups which occurred in the bleeding incidence were statistically analyzed （chi-square test）, P〈 0.05 as statistically significant. Results In two groups, no significant difference in patients＇ age, gender, GCS score, bleeding sites, primary volum of bleeding, hematoma density, hematoma shape factors was found （P〉0.05）. But the control levels of blood pressure and rebleeding in the two groups had a significant correlation （P〈0.05）, when the control levels of blood pressure 〈140/80 mmHg, the rebleeding rate was 15.64%, and was significantly lower than 27.17% in the 40/80 mmHg-160/100 mmHg group. Conclusion： After hypertensive intracerebral hemorrhage, the level control of blood pressure was in the normal blood pressure range, which is expected to reduce the risk of re-bleeding patients.
出处
《现代生物医学进展》
CAS
2013年第27期5299-5301,共3页
Progress in Modern Biomedicine
关键词
血压控制水平
自发性脑出血
再出血
相关性
Blood pressure control level
Spontaneous intracerebral hemorrhage
Rebleeding
Correlation
