早期强化降压治疗对高血压脑出血患者血肿扩大和预后的影响

Effect of Early Intensive Antihypertensive Therapy on Hematoma Enlargement and Prognosis in Patients with Hypertensive Intracerebral Hemo

目的将早期强化降压治疗用于高血压脑出血患者中,分析其对血肿扩大及预后的影响。方法对我院收治的高血压脑出血患者分组研究,2组行标准降压,1组在此基础上行早期强化降压,对两组治疗效果进行评价。结果两组治疗前血肿量相比,差异不明显(P>0.05),两组治疗后血肿量均有所扩大,但1组血肿量与2组相比,相对更少(P<0.05);两组治疗前NHISS评分、Barthel评分相比,差异不显著(P>0.05),1组治疗后NHISS评分与2组相比,相对更低,Barthel评分与2组相比,相对更高(P<0.05)。结论早期强化降压治疗用于高血压脑出血患者中效果理想,可减少血肿量扩大,改善神经功能缺损程度,提升患者生活能力,值得应用。

Objective To use early intensive antihypertensive therapy in patients with hypertensive intracerebral hemorrhage, and to analyze its effect on hematoma enlargement and prognosis. Methods The patients with hypertensive cerebral hemorrhage admitted to our hospital were divided into two groups. The two groups underwent standard hypotension, and one group underwent early antihypertensive therapy on the basis of this foundation. The therapeutic effects of the two groups were evaluated. Results There was no significant difference in the amount of hematoma before treatment between the two groups(P>0.05). The amount of hematoma was enlarged after treatment in both groups, but the amount of hematoma in group 1 was relatively less than that in group 2(P<0.05). There was no significant difference in NHISS score and Barthel score between the two groups before treatment(P>0.05). The NHISS score was lower in group 1 than in group 2, and the Barthel score was relatively higher than that in group 2(P<0.05).Conclusion Early intensive antihypertensive therapy is effective in patients with hypertensive cerebral hemorrhage,which can reduce the expansion of hematoma, improve the degree of neurological deficit, and improve the patient’s ability to live. It is worthy of application.