早期镇痛镇静对大容积脑出血患者血压调控的临床观察

Clinical Observation of Early Analgesia and Sedation on the Blood Pressure Control for Large Hemispheric Hypertensive Intracerebral Hemorrhage Patients

目的探究在大容积脑出血患者的临床治疗中运用早期镇痛镇静干预对患者血压调控的临床效果。方法选取2017年1月至2019年5月于我院接受系统治疗的60例高血压性大容积脑出血患者作为研究对象。遵循自愿入组的原则,依照随机盲选方式进行分组,每组30例。对照组予以常规术后治疗方案,试验组基于常规治疗联合早期镇痛镇静干预。比较两组治疗后的血压水平及预后效果。结果试验组术后2、12、24 h的收缩压与舒张压控制情况均较对照组更优(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);试验组再出血发生率显著低于对照组(P<0.05)。结论采取早期镇痛镇静干预大容积脑出血患者可有效改善患者术后的血压水平,预防术后再出血,提高预后和综合治疗。

Objective To explore the clinical significance of early analgesia and sedation on the blood pressure control for large hemispheric hypertensive intracerebral hemorrhage patients.Methods Sixty patients with large hemispheric hypertensive intracerebral hemorrhage who received systemic treatment in our hospital from January 2017 to May 2019 were selected as the research objects.Follow the principle of voluntary enrollment and group according to random blind selection,with 30 cases in each group.The control group received conventional postoperative treatment,and the experimental group received early analgesia and sedation support based on conventional treatment.The blood pressure levels and prognostic effects of the two groups after treatment was compared.Results After 2 hours,12 hours and 24 hours of treatment,the systolic blood pressure and diastolic blood pressure in the experimental group were even better than control group(P<0.05);the adverse event rate between groups was not significantly different(P>0.05);the re-bleeding rate in the experimental group was significantly lower than control group(P<0.05).Conclusion Early analgesia and sedation can efficiently control the blood pressure,prevent the rebleeding,and improve the treatment prognosis and comprehensive effect.