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目的探讨基底节区脑出血患者早期血肿扩大与高血压的关系。方法对2008年1月到2010年1月在我院神经科住院治疗的基底节区ICH患者87人,随机分为对照组和治疗组,治疗组患者于入院时立即给予生理盐水50ml+硝普钠25mg注射泵泵入,24h连续观察血压变化,使血压控制在140～160/90～100 mmHg左右,至发病满24h后按脑血管病防治指南标准管理血压。对照组直接按脑血管病防治指南标准管理血压。结果治疗组血肿扩大比例为11.4%,对照组血肿扩大比例为30.2%,提示较高血压与血肿扩大呈正相关。结论基底节区脑出血患者早期控制血压可减少血肿扩大。
Objective To investigate the relationship between early hematoma expansion and hypertension in patients with basal ganglia intracerebral hemorrhage. Methods From January 2008 to January 2010 in our hospital neurology hospital treatment of ICH patients in 87 patients were randomly divided into control group and treatment group, the treatment group patients were given immediately on admission saline 50ml + sodium nitroprusside 25mg syringe pump into the 24h continuous observation of changes in blood pressure, blood pressure control in the 140 ~ 160/90 ~ 100 mmHg or so, to the onset of 24h after the management of stroke guidelines for the management of blood pressure. Control group directly according to the standard of prevention and treatment of cerebrovascular disease guidelines for the management of blood pressure. Results In the treatment group, the hematoma enlargement ratio was 11.4% and that in the control group was 30.2%, suggesting that the higher blood pressure was positively correlated with the enlargement of the hematoma. Conclusion Early control of blood pressure in patients with basal ganglia cerebral hemorrhage can reduce the hematoma enlargement.