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高血压脑出血早期控制血压对血肿扩大的影响∗

江思德 邹耀兵 唐明山 肖静 潘成德

重庆医学Issue(23):3216-3217,3220,3.
重庆医学Issue(23):3216-3217,3220,3.DOI:10.3969/j.issn.1671-8348.2015.23.015

高血压脑出血早期控制血压对血肿扩大的影响∗

Influence of early intensively antihypertensive treatment on hematoma enlargement in patients with hypertensive cerebral hemorrhage

江思德 1邹耀兵 1唐明山 1肖静 1潘成德1

作者信息

  • 1. 重庆市巴南区人民医院神经内科 401320
  • 折叠

摘要

Abstract

Objective To investigate the effect of blood pressure control for early enlargement of hypertensive intracerebral hemorrhage.Methods A total of 96 patients were divided randomly into intensive blood pressure lowering group (n = 48 )and standard antihypertensive group(n=48).Patients were checked head CT and was evaluated defect of nerve function score immedi-ately when they arrive at hospital and after 24 hours.Then the clinical curative effect was evaluated.Results The defect of nerve function score in intensive blood pressure lowering group was lower than that of the standard antihypertensive group(P <0.05 ). The hematomas volume within 24 hours of admission and the rate of hematoma enlargement of intensive blood pressure lowering group were sharply smaller than those of standard antihypertensive group(P <0.05).Conclusion Controlling blood pressure ac-tively could decrease ratio early enlargement of hematoma and defect of nerve function score in patients with hypertensive cerebral hemorrhage.

关键词

颅内出血,高血压性/血肿/血液凝固/血肿扩大

Key words

intracranial hemorrhage,hypertensive/hematoma/blood coagulation/hematoma expansion

分类

医药卫生

引用本文复制引用

江思德,邹耀兵,唐明山,肖静,潘成德..高血压脑出血早期控制血压对血肿扩大的影响∗[J].重庆医学,2015,(23):3216-3217,3220,3.

基金项目

重庆市医疗特色专科建设项目经费资助[渝卫科教(2010)52号]。 (2010)

重庆医学

OA北大核心CSTPCD

1671-8348

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