高血压脑出血患者血压对血肿扩大及近期预后的影响

Effect of Blood Pressure on the Hematoma Enlargement and Short - term Prognosis of Hypertensive Cerebral Hemorrhage

目的:探讨高血压脑出血患者早期血压对血肿扩大及近期预后的影响。方法:对126例高血压性脑出血住院患者的临床资料进行回顾性研究。分析不同等级水平的平均动脉压与近期预后之间的关系。依据颅脑CT分为血肿扩大组及血肿无变化组,对两组病例间平均收缩压、平均舒张压、平均动脉压情况进行比较。应用SPSS11.5统计软件包进行统计学分析。结果:①MAP2级组(≥145 mmHg)病死率高于MAP1级组(<145 mmHg),两者比较差异有统计学意义(P<0.05);②血肿扩大组及血肿无变化组间的平均收缩压、平均舒张压及平均动脉压比较(P<0.05),差异有统计学意义。结论:在高血压脑出血早期,过高的血压是提示近期预后不良的重要危险因素;积极的进行降压治疗,减少再出血,避免血肿扩大,是降低病死率及致残率的有效途径之一。

Objective： To explore the influence of the hematoma enlargement and short-term prognosis of hypertensive cerebral hemorrhage in patients with early blood pressure.Methods： The clinical data of our hospital 126 cases of hypertensive cerebral hemorrhage hospitalized patients were studied retrospectively.Analysis of the relationship between the different grade levels of mean arterial pressureandshort-term prognosis.On the basis of brain CT divided into no change for the hematoma enlargement group and hematoma in two cases,average systolic pressure,diastolic pressure,mean arterial pressure were compared.Application of SPSS11.5 software package was used for statistical analysis.Results： ① MAP2 group（≥145 mmHg） mortality rate is higher than that of MAP1 group（mmHg 145）,there were significant difference between them（P 0.05）;②Between the change group the hematoma enlargement group and hematoma without average systolic blood pressure、mean diastolic pressure and mean arterial pressure comparison（P 0.05）,the difference was statistically significant.Conclusions： In the early stage of cerebral hemorrhage of hypertension,high blood pressure is a reminder that the important risk factors of adverse prognosis;for antihypertensive treatment actively,reduce bleeding,avoid hematoma expansion,is one of effective way to reduce the mortality and disability rate.