超早期血压控制对降低高血压脑出血患者再出血风险的效果观察

目的：探讨超早期血压控制对降低高血压脑出血患者再出血风险的效果影响。方法：回顾性分析我院超早期血压控制的61例高血压脑出血患者（观察组），未给予超早期血压控制的60例高血压脑出血患者（对照组），比较两组患者再出血发生率及其对神经功能的影响。结果：与对照组比较，观察组血压达标率明显增高（76.67％VS93.44％），再出血发生率明显降低（31.67％VS4.92），两组比较差异具有统计学意义（P＜0.05）；观察组治疗前后平均血肿体积比较差异无显著性（P＞0.05），而对照组治疗后明显高于观察组和治疗前，比较差异具有显著性（P＜0.05），再出血患者神经功能缺损评分也明显高于无再出血患者（ P＜0.05）。结论：超早期血压控制通过显著降低高血压脑出血患者再出血发生率和防止血肿体积扩大以改善患者神经功能。

EFFECTS OBSERVATION OF ULFTA EAFLY BLOOD PRESSURE CONTRLO IN REDUCING RE-BLEEDING RISK OF PATIENTS WITH HYPERTEMSIVE CEREBRAL HEMORRHAGE

Objective：To investigate the effect of ultra early control of blood pressure in reducing rebleeding risk of patients with hypertensive cerebral hemorrhage.Methods：61 cases of hypertensive cerebral hemorrhage patients given ultra early blood pressure control were selected as observation group , 60 cases of hypertensive cerebral hemorrhage patients given none ultra early blood pressure control were selected as control group , rebleeding and nerve function were compared.Results：Compared by control group , blood pres-sure compliance rate of observation group is significantly increased （ 76.67%VS93.44%） , re-bleeding rate decreased significantly （31.67%VS4.92） （P〈0.05）, average hematoma volume of observation group pretherapy and posttherapy compared with no sig-nificant difference （P〉0.05）, while post-therapy of control group is significantly higher than observation group and pretherapy（P〈0.05）, Neurological Severity Score of re -bleeding patient is significantly higher than none rebleeding （P〈0.05）.Conclusion：ultra early blood pressure control can significantly reduce re-bleeding risk in patients with hypertensive cerebral hemorrhage;prevent hematoma volume expansion to improve neurological function.