急性低灌注型缺血性卒中患者血压升高期扩容治疗的临床观察

The Curative Effect of Volume Expansion Therapy to Acute Ischemic Stroke Patients with High Blood Pressure

目的探讨在急性缺血性卒中患者血压升高期扩容治疗的疗效观察。方法 40例低灌注型缺血性卒中急性期血压升高患者,根据扩容治疗与干预血压治疗分为两组。观察患者的血压变化以及预后。结果急性低灌注型缺血性卒中血压升高患者,扩容治疗后,血压能够自动下降,并且远期治疗效果要优于急性期就进行血压干预治疗。结论急性低灌注型缺血性卒中患者,血压的升高只是脑缺血时机体的一种代偿表现。扩容治疗可以使血压下降以及改善患者的病情,并且有利于患者的预后。

Objective To explore the curative effect of volume expansion therapy to acute ischemic stroke patients with high blood pressure. Methods 40 cases of low perfusion acute ischemic stroke patients with high blood pressure, according to volume expansion therapy or interfere in high blood pressure treatment is divided into two groups. Results Low perfusion acute ischemic stroke patients with high blood pressure, after voluming expansion therapy, blood pressure can be dropped and the long-term treatment is superior to conduct high blood pressure on the acute phase. Conclusion Low perfusion acute ischemic stroke patients, elevated blood pressure in cerebral ischemia is only a compensatory performance. Volume expansion therapy will enable the treatment of blood pressure dropped and improve patient＇s condition and profit patient＇s prognosis.