高血压并发急性脑梗死180例诊断体会

Diagnosis experience of 180 cases of hypertension complicated with acute cerebral infarction

目的:总结高血压并发急性脑梗死诊断经验,进一步提高诊断符合率。方法:收治高血压并发急性脑梗死患者180例,根据梗死灶的大小分成A组78例、B组92例、C组10例进行治疗。结果:3组经过治疗ESS评分、ADL评分升高,NDS评分明显降低,与治疗前比较差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05)。180例患者经过治疗基本痊愈49例,显著进步73例,进步47例,无效11例,总有效率93.9%,其中A组总有效率94.9%,B组总有效率96.9%,C组总有效率90.0%,组间比较差异无统计学意义(P>0.05)。结论:CT和磁共振是诊断高血压并发急性脑梗死的重要依据,降血压、降低颅内压、溶栓等是治疗的重要措施。

Objective:To sum up the experience of hypertension complicated with acute cerebral infarction,and further improve the diagnostic accordance rate.Methods:We selected 180 cases of patients with hypertension complicated with acute cerebral infarction from 2012 March to 2013 November.These patients were divided into A group of 78 cases,92 cases in B group,C group of 10 cases according to the size of infarction.Methods:ESS score and ADL score increased and NDS score decreased of the three groups after treatment.There was significant difference compared with that before treatment(P<0.05),but there was no significant difference among groups(P>0.05).In 180 patients,49 cases were basically cured,73 cases of significant progress,progress in 47 cases,11 cases ineffective,and the total efficiency was 93.9%.Total effective rate of group A was 94.9%,in B group the total effective rate was 96.9%,total effective rate of group C was 90%,and there was no significant difference among groups(P>0.05). Conclusion:CT and magnetic resonance is an important basis for the diagnosis of hypertension complicated with acute cerebral infarction.Reducing blood pressure,reducing the intracranial pressure and thrombolysis were important measures for treatment.