血压控制降低脑出血继续出血211例临床分析

Clinical analysis of 211 cases of blood pressure control in reducing the continuous hemorrhage after cerebral hemorrhage

目的：探讨血压控制对降低超早期高血压性脑出血患者再出血风险的作用。方法：对211例超早期高血压性脑出血患者设血压控制组和常规处理组，分析相关临床资料。结果：血压控制组脑出血继续出血发生率20．7％，常规处理组发生率49．3％，差异有统计学意义。结论：对超早期高血压脑出血患者缓慢降压。血压控制在100～140／65-85mmHg范围，可降低继续出血风险。

Objective： To investigate the effect of the blood pressure control on reducing the risk of rebleeding in patients with ultraearly stage hypertensive intracerebral hemorrhage. Methods： 211 cases of patients with ultraearly hypertensive intracerebral hemorrhage were divided into the blood pressure control group and conventional treatment group, and the related clinical data were analyzed. Results： The occurrence rate of the continuous hemorrhage after cerebral hemorrhage in the blood pressure control group was 20.7%, while 49.3% in the conventional group, which was of statistical difference. Conclusion. For patients with ultra-early stage hypertensive intracerebral hemorrhage, the slow lowering blood pressure, and the blood pressure is controlled in the range of 100-140/65-85mmHg can reduce the risk of continuous hemorrhage.