血压调控对高血压脑出血患者早期病情的影响

The Effect of Blood Pressure Control for Hypertensive Intracerebral Hemorrhage

目的探讨调控血压与控制高血压脑出血病情进展的关系。方法分析60例高血压脑出血,出血量小到中等,早期行调控血压治疗,观察其病情变化。结果 60例高血压脑出血患者3 d后复查头颅CT,57例颅内血肿无明显扩大,病情好转,只有3例血肿较入院时扩大,意识障碍较入院时加重。结论高血压脑出血患者,可能同时伴有高血压脑病或高血压危象,也可因过高的血压导致继续出血、血肿扩大,因此,及时地降低过高的血压可控制病情进展,改善患者早期预后。

Objective To investigate the relationship between blood pressure control and the progression of hypertensive cerebral hemorrhage. Methods According to the situation of cerebral hemorrhage, the 60 patients were divided to two group ： the minor and the medium group. At the early stage of pathogenesis, patients accepted the therapy for controlling the hypertension, and then observe the progression of disease. Results 3 days after cerebral hemorrhage, CT examination were conducted for review, suggesting that there was no significant increase of intracranial hematoma in 57 patients,their condition had improved;the rest 3 patients＇hematoma expanded contrasting to the situation when admitted to the hospital, disturbance of consciousness also became more severe. Conclusion Hypertensive cerebral hemorrhage may be accompanied hypertensive encephalopathy or hypertensive crisis, and the hypertension may also induce continued bleeding or hematoma expansion, therefore, reducing high blood pressure timely plays a role in the controlling of the disease progression, and improving the patients＇early prognosis.