| 高血压脑出血患者早期强化降压对血肿扩大的影响 |
| |
| 引用本文： | 宋维根,钟建国,肖佩荣,罗容.高血压脑出血患者早期强化降压对血肿扩大的影响[J].临床神经病学杂志,2010,23(1). |
| |
| 作者姓名： | 宋维根 钟建国 肖佩荣 罗容 |
| |
| 作者单位： | 盐城市第三人民医院神经内科,224001 |
| |
| 摘 要： | 目的 探讨高血压脑出血(ICH)患者早期强化降压治疗对血肿扩大的影响.方法 选择入院时血压＞180/110 mmHg的ICH患者256例,随机分为强化降压组(A组,128例)及指南标准降压组(B组,128例),分别给予强化降压及指南标准降压治疗;观察24 h后两组血肿体积的变化和入院时及21 d时美国国立卫生研究院卒中量表(NIHSS)情况.结果 A组治疗前及24 h后血肿平均体积为(20.5±2.76)ml和(23.3±2.32)ml,血肿扩大11例(8.59%);B组血肿平均体积为(20.2±2.87)ml和(26.5±2.48)ml,血肿扩大29例(22.66%),两组血肿扩大率的比较差异有统计学意义(P＜0.01);A组入院时及治疗21 d时NIH-SS评分分别为(26.5±7.42)分及(16.5±9.26)分;B组分别为(25.8±7.93)分及(19.7±10.40)分;两组发病21 d时比较差异有统计学意义(P＜0.05).结论 高血压ICH早期强化降压治疗对控制血肿扩大有益.
|
| 关 键 词： | 高血压脑出血 血肿扩大 降压治疗 |
Influence of early intensively antihypertensive therapy on hematoma enlargement in patients with hypertensive intracerebral hemorrhage |
| |
| SONG Wei-gen,ZHONG Jian-guo,XIAO Pei-rong,et al.Influence of early intensively antihypertensive therapy on hematoma enlargement in patients with hypertensive intracerebral hemorrhage[J].Journal of Clinical Neurology,2010,23(1). |
| |
| Authors: | SONG Wei-gen ZHONG Jian-guo XIAO Pei-rong |
| |
| Institution: | SONG Wei-gen,ZHONG Jian-guo,XIAO Pei-rong,et al.Department of Neurology,Yancheng Third People's Hospital,Yancheng 224001,China |
| |
| Abstract: | Objective To investigate the influence of early intensively antihypertensive therapy on hematoma enlargement in patients with hypertensive intracerebral hemorrhage(HICH).Methods 256 acute HICH patients with blood pressure >180/110 mmHg were randomly divided into two groups.A group(128 cases)was given intensively antihypertensive therapy,B group(128 cases)was given standard guideline antihypertensive therapy.The efficacy was evaluated by hematoma volume 24 h after treatment and the National Institutes of Hea... |
| |
| Keywords: | hypertensive intracerebral hemorrhage hematoma enlargement antihypertensive therapy |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
