摘要
目的 对比分析早期强化降压治疗对高血压脑出血患者血肿扩大和预后的临床治疗效果.方法 随机选取2012年4月至2014年4月在滑县中心医院接受治疗的高血压脑出血患者100例,将其均分为对照组与观察组,对照组患者给予指南标准降压,观察组患者给予强化降压.治疗后观察两组患者血肿体积变化和NIHSS评分以及病死率.结果 对照组患者的血肿扩大率高达23.3％,观察组患者的血肿扩大率为10.0％,与对照组比较,观察组较低,且差异有统计学意义（P＜0.05）;患者发病第21天,观察组NIHSS评分低于对照组,且差异有统计学意义（P＜0.05）;对照组与观察组病死率比较差异未见统计学意义（P＞0.05）.结论 早期降压治疗能够有效控制高血压脑出血患者的血肿扩大,值得临床应用推广.
Objective To compare and analyze the effect of early intensive antihypertensive treatment on hematome expansion and prognosis of hypertensive cerebral hemorrhage patients.Methods Randomly selected 100 patients with hypertensive cerebral hemorrhage from April 2012 to April 2014 in central hospital of Huaxian and divided them into the control group and observation group.The control group were treated with guide standard buck and the observation group were treated with antihypertensive treatment.After treatment,the hematoma volume changes,NIHSS score and mortality of patients were observed.Results The rate of hematoma expansion in the control group was 23.3% and 10.0% in the observation group;compared with the control group,that in the observation group was lower,and the difference was significant （P 〈0.05）;on the 21 st day,the NIHSS score of the observation group was significantly lower than that of the control group,and the difference was significant （P 〈 0.05）;the mortality in the control group and observation group had no significanty difference （P 〉 0.05）.Conclusions Early treatment can effectively control blood pressure hematoma enlargement in patients with hypertensive intracerebral hemorrhage,so it is worthy of promotion in clinical applications.
出处
《中国实用医刊》
2015年第18期17-18,共2页
Chinese Journal of Practical Medicine
关键词
早期强化降压治疗
高血压脑出血
血肿扩大
Early intensive antihypertensive therapy
Hypertensive cerebral hemorrhage
Hematoma expansion
