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目的探讨积极控制血压能否降低高血压脑出血患者早期血肿扩大的发生率。方法原发性高血压性脑出血病例共72例,随机分成试验组37例及对照组35例,试验组在常规治疗的基础上,2 h内将收缩压降至170 mm Hg(1 mm Hg=0.133 kPa)左右,对照组采用常规治疗。结果试验组血肿扩大发生率为8.1%;对照组血肿扩大发生率为31.4%,两组血肿扩大发生率比较差异有统计学意义(P<0.05)。结论如果高血压脑出血患者早期血压有明显升高,对其进行积极的降压治疗,可以明显降低早期血肿扩大的发生率。
Objective To investigate whether the positive control of blood pressure can reduce the incidence of early hematoma enlargement in patients with hypertensive intracerebral hemorrhage. Methods A total of 72 patients with primary hypertensive intracerebral hemorrhage were randomly divided into experimental group (37 cases) and control group (35 cases). On the basis of routine treatment, the experimental group reduced systolic blood pressure to 170 mm Hg (1 mm Hg = 0.133 kPa), and the control group received routine treatment. Results The incidence of hematoma enlargement in the experimental group was 8.1%. The incidence of hematoma enlargement in the control group was 31.4%. There was significant difference in the incidence of hematoma enlargement between the two groups (P <0.05). Conclusion If hypertensive intracerebral hemorrhage in patients with early blood pressure was significantly increased, its active antihypertensive treatment can significantly reduce the incidence of early hematoma enlargement.