脑出血首次平均血压对其预后影响的临床评价

Clinical Prognostic Evaluation of Initial Mean Blood Pressure in Patients with Cerebral Hemorrhage

目的：脑出血首次平均血压（LMBP）对其预后的影响进行了临床评价。方法：1．不同出血部位的年龄、LMBP的比较。2．同一出血部位死亡组与存活组的1MBP比较。3．1MBP与脑出血预后的相关性分析。4．统计学处理：评价用，两组均数比较用t检验，两变量相关性分析用直线回归法。结果；1．基底节出血的平均年龄小于皮质下出血（P＜0．05）；其LMBP高于皮质下出血（P＜0．05）。2．基底节出血死亡组的LMBP高于存活组（P＜0．05）；皮质下出血死亡组的LMBP与存活组比较差异无显著性（P＞0．05）。3基底节出血LMBP与脑出血的死亡率呈正相关（r＝0．76，P＜0．05）。结论：基底节出血随LMBP的增高其死亡率亦增加，二者具有正相关，LMBP大于18．80KPa基底节出血预后较差。

Objective: Clinical prognosis was evaluated by initial mean blood pressure (IMBP) inpatients with cerebral hemorrhage.Methods: 1. Comparison with age, IMBP in different hemorrhagic location 2. comparison with IMBP between unfatal and fatal groups in the same hemorrhagic location 3. Correlation analysis between IMBP and clinical prognosis of cerebral hemorrhage. 4. Statistical Methods: Values were expressed as meantSD. The mean of two groups was compared with two tailed student's t Test. Correlation between two variables was performed by means of linear regression. Results ;The mean age of basal ganglionic hemorrhage was younger than that of subcortical (P<0. 05); its IMBP was higher than that(P<0. 05) 2. The IMBP of fatal group was higher than that of unfatal group in basal ganglionic hemorrhage. (P<0. 05). No difference of IMBP between two groups in subcortical hemorrhage (P>0. 05). 3. There was positive correlation between IMBP and mortality in basal ganglionic hemorrahge (r= 0. 76,P<0. 05). Conclusions: The mortality increased with IMBP elevation in basal ganglionic hemorrhage and there was positive correlation between them. IMBP above 18. 8O Kpa showed poor outcome.