脑梗死患者急性期降压治疗对脑功能及预后的影响

目的：观察脑梗死患者急性期降压治疗对脑功能及预后的影响。方法：本文对120例脑梗死急性期合并高血压的患者分组进行降压及非降压治疗对比观察，发现未使用降压药物组其水肿带在病后（2～4）周较少出现，应用降压药物组血压明显降低，但其病灶容积（4～12）周的神经缺损未见明显好转。结果：观察（6～36）个月后，降压治疗组发生脑梗死及总死亡率大于非降压组，P〈0．05。发生心肌梗死者二者无明显差别。结论：提出降压治疗对该类病人并无益处，脑梗死患者急性期血压升高有利维持脑血流量和脑功能及预后。

The Effects of Hypotensor on Brain Function and Its Prognosis in Treatment of Acute Cerebral Infarction

Objective: To compare the effects of treatment with hypotensor and non-hypotensor on acute cerebral infarction associated with hypertension. Methods: A total of 120 cases with acute cerebral infarction associated with hypertension were divided into hypotensor group (60 cases), in which the hypotensor was given during the acute cerebral infarction and control group (60 cases) in which no hypotensor was given. The dynamic blood pressure and the nerve dysfunction were recorded. Results: We found that the edema belt of normal group reduced within (2~4)weeks after treatment.The blood reassure was obviously descended in the hypotensor group,but the grade of nerve defects was not improved within (4~12) weeks.After 6-36 months follow up,the incidence and mortality in the hypotensor group was obviously higher than normal group (P<0.05).Conclusions: Our results suggest that hypotensor is used to help treat the acute cerebral infarction associated with hypertension is not a better way.