高血压脑出血的中西医治疗进展

Progress in Chinese and Western Medicine Treatment of Hypertensive Intracerebral Hemorrhage

高血压脑出血(HICH)是神经科的常见病,病死率较高。大多数幸存HICH患者伴有不同程度的残疾,不能实现自我保健,且再发性脑出血、其他严重血管事件、癫痫、痴呆等神经系统并发症的发生率较高。目前,HICH的内科治疗以控制血压、控制颅内压、止血等为主,且各种方式的外科手术治疗也日趋成熟。除现代医学外,传统中医在HICH患者的预后、康复、生活质量提高等方面也发挥着重要作用。对HICH现状及中西医治疗进展的全面了解可为减少HICH患者脑损伤、预防并发症、促进疾病康复提供帮助。

Hypertensive intracerebral hemorrhage(HICH)is a common neurological disease with a high mortality rate.Even if the patients could survive,self-care cannot be achieved,and the incidence of recurrent cerebral hemorrhage,other serious vascular events,epilepsy,dementia and other neurological complications was high.At present,the medical treatment of HICH is mainly to control blood pressure,control intracranial pressure,hemostasis and so on,and various surgical treatments are becoming more mature.In addition to modern medicine,traditional Chinese medicine has also played an increasingly important role in the prognosis,rehabilitation,and improvement of the patient’s quality of life.A comprehensive understanding of the current status of HICH and the progress of traditional Chinese medicine and western medicine treatment can help to reduce the brain injury,prevent the complications,and promote rehabilitation of the patients.