血压水平对急性脑出血患者预后的影响

Effect of blood pressure level on prognosis of acute intracerebral hemorrhage patients

目的探讨急性脑出血患者血压水平与临床表现及预后的关系。方法分析2008-2009年我院神经内科收治的经颅脑CT检查证实的急性首次脑出血患者共104例,分别收集患者自然信息、病前患病史、颅脑CT示出血量和出血部位、首诊时格拉斯哥昏迷评分(Glasgowcoma scale,GCS)、并发症及出院时改良的Ranking量评分(modified ranking scale,MRS)等资料,进行单因素分析。结果研究结果表明血压升高患者的年龄偏大、出血量大、神经功能缺损明显、临床疗效差和病死率高。结论急性脑血压患者,血压升高是病情危重的标志之一,对急性高血压脑出血患者进行血压监测可估计疾病的发展和预后。

Objective To investigate the relationships between blood pressure（BP）and prognosis in primary acute intracerebral hemorrhage（AIH）patients.Methods One hundred and four patients with primary AIH confirmed by brain CT in Neurological Department of our hospital were collected.Single factor analysis was carried out for nature information,previous disease history,volume and site of hematoma by brain CT,Glasgow coma scale（GCS）at the arriving hospital time,complications and discharge modified ranking scale（MRS）.Results The statistical difference was found for these factors including age,volume and site of hemorrhage,GCS,MRS and mortality between patients with normal BP level and those with elevated BP level.Conclusion Elevated BP is one of critical markers for AIH patients.Development and prognosis of AIH patients can be estimated by monitoring BP.