中国实用神经疾病杂志2016,Vol.19Issue(5):5-6,2.
川东北地区脑出血患者急性期降压治疗现状调查研究
Present investigation on antihypertensive therapy in patients with acute cerebral hemorrhage in Northeast Sichuan
摘要
Abstract
Objective To observe the current situation of antihypertensive therapy in patients with acute hypertensive cerebral hemorrhage in Northeast Sichuan and to explore its influence on in-hospital mortality.Methods We retrospectively sampled patients of hypertensive cerebral hemorrhage within 24 hours of onset in part of the hospitals of Northeast Sichuan area from January 2011 to December 2011 and analyzed current status of antihypertensive treatment at acute phase and the effect of antihypertensive therapy on in-hospital mortality.Results Of 876 cases with cerebral hemorrhage sampled,the ratio of hypertension accounted for 93.2 %,and rate of initiating antihypertensive treatment occupied 68.6 % and ratio of the activation of intravenous antihypertensive therapy at super-early stage was 13.2 %.Patients with stage 3 hypertension treated by antihypertensive treatment had lower in-hospital mortality compared with patients by non-antihypertensive treatment(P<0.05).Additionally,patients treated by intravenous antihypertensive therapy held remarkably statistical difference relative to those by non-intravenous antihypertensive therapy(P<0.01).And the time of 24 hours or less to antihypertensive activation had lower mortality compared with the time of more than 24 hours (P<0.05).Conclusion Patients with cerebral hemorrhage are often concomitant with hypertension,and majority of acute stoke patients are treated by early antihypertensive therapy.Moreover,antihypertensive treatment particularly combined by intravenous antihypertensive therapy can beneficially reduce the in-hospital mortality.关键词
脑出血/降压治疗/院内病死率Key words
Intracerebral hemorrhage/Antihypertensive treatment/Mortality分类
医药卫生引用本文复制引用
孙祥荣,吴碧华,张树山,刘曙东..川东北地区脑出血患者急性期降压治疗现状调查研究[J].中国实用神经疾病杂志,2016,19(5):5-6,2.基金项目
2009年四川省卫生厅科研课题项目(NO:090138) (NO:090138)