再发高血压性脑出血危险因素的分析

The risk factors for the recurrence of hypertensive brain hemorrhage

目的 研究分析再发高血压性脑出血的危险因素。方法 追踪调查 962例高血压性脑出血患者 ,追踪年限平均 2 .2年 ,分析出血组和再次出血组病人的血压和其他临床特点。结果 再次出血组的舒张压明显高于出血组 ,P<0 .0 1。再次出血组的收缩压亦高于出血组 ,P<0 .0 5。舒张压≥ 95mm Hg和收缩压≥ 2 0 0 mm Hg是再次高血压脑出血的直接相关因素。结论 高舒张压和高收缩压均与再次脑出血有关 。

Objective To study the risk factors for the recurrence of hypertensive brain hemorrhage (HBH).Methods Nine hundred and sixty two patients with HBH were followed up for 2.2 years.Blood pressure (BP) and other clinical features were compared between recurrence group and nonrecurrence group.Results Diastolic BP was significantly higher in the recurrence group than in the nonrecurrence group ( P <0 01).Systolic BP was also higher in recurrence group than in the nonrecurrence group ( P <0 05).Diastolic BP≥95mmHg and systolic BP≥200mmHg may be regarded as a predictive factors of the recurrence of HBH.Conclusions Both higher diastolic BP and higher systolic BP are related to an increased rate of HBH and higher diastolic BP has more predictive value than higher systolic BP.