老年高血压性脑出血清除术控制性降压的临床研究

Clinical study of induced hypotesion during operation hypertensive cerebral haemorrhage of the age

目的：了解压宁定、硝酸甘油在老年高血压性脑出血中对血流动力学的影响。方法：将６０例高血压脑出血病人随机分为压宁定（Ⅰ组）、硝酸甘油（Ⅱ组）、压宁定复合硝酸甘油（Ⅲ组）。观察收缩压、舒张压、心率心肌耗氧量、心电图的变化。结果：Ⅲ组与Ⅰ、Ⅱ组相比各项指标存在明显差异（Ｐ＜００１）。结论：压宁定复合硝酸甘油控制性降压疗效显著，对循环系统影响小。

Objective:To investigate the effect of uropidil and TNG on hemodynamics in the period of operation of cerebral haemorrhage. Methods:sixty patients with hypertensive cerebral haemorrhage was randomity divided into uropidit group(group Ⅰ),TNG group(group Ⅱ) both TNG and uropidil group(group Ⅲ).The changes of SBP DBP LIR.ECG was obsered.Results:Each value in group Ⅲ was different from group Ⅰ or group Ⅱ( P <0 01).Conclusion:It is effective to be induced hypotemsion by both TNG and uropichl during operation and supprdsses the circulation is less than the others groups.