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目的探讨早期降压对高血压脑出血患者血肿扩大的影响。方法抽取于2010年8月到2012年4月在我院接受治疗的高血压脑出血患者中的75例进行研究,将其随机分为治疗组和对照组。治疗组38例患者采用早期降压治疗,对照组37例患者采用常规治疗的方法 ,在治疗后两组患者血肿情况进行比较。结果两组患者入院时血肿体积比较差异性不大,无统计学意义(P>0.05)。两组患者治疗24h后血肿体积比较差异性不大,无统计学意义(P>0.05),治疗组血肿扩大率为7.89%,对照组患者血肿扩大率为27.03%,两组进行对比差异有统计学意义,治疗组低于对照组,有统计学意义(P<0.05)。治疗组死亡2例,对照组死亡3例,两组死亡率比较差异性不大,无统计学意义(P>0.05)。结论对高血压脑出血患者实施早期降压治疗可以有效降低血肿扩大率,值得推广。
Objective To investigate the effect of early antihypertensive treatment on the enlargement of hematoma in patients with hypertensive intracerebral hemorrhage. Methods Seventy-five patients with hypertensive intracerebral hemorrhage treated in our hospital from August 2010 to April 2012 were randomly divided into treatment group and control group. Thirty-eight patients in the treatment group were treated with early antihypertensive treatment and 37 patients in the control group were treated by conventional therapy. The hematoma of the two groups was compared after treatment. Results There was no significant difference in the volume of hematoma between the two groups (P> 0.05). The volume of hematoma was not significantly different between the two groups after 24 hours of treatment (P> 0.05), the rate of hematoma enlargement was 7.89% in the treatment group and 27.03% in the control group, there was statistical difference between the two groups Significance, the treatment group lower than the control group, with statistical significance (P <0.05). There were 2 deaths in the treatment group and 3 deaths in the control group. There was no significant difference in mortality between the two groups (P> 0.05). Conclusions The early antihypertensive treatment of patients with hypertensive intracerebral hemorrhage can effectively reduce the rate of hematoma enlargement and is worth popularizing.