脑出血后高血压与病死率关系探讨

The relation between blood pressure level and mortality in hypertensive intracerebral hemorrhage patients

目的 探讨高血压脑出血的高血压与病死率的关系。方法 经头颅CT证实为高血压脑出血患者 138例 ,进行回顾性分析。结果 随着脑出血早期血压升高 ,脑出血病死率增加 ,血压≥ 2 30 / 130mmHg ,病死率为 39 7% ;≥ 2 2 0 / 12 0mmHg ,病死率为 31 8% ,>2 0 0 / 10 0mmHg ,病死率为 9 1% ;经降压治疗血压下降≥ 35 % ,病死率为 2 7 1% ,下降≤ 2 0 % ,病死率为 7 1%。结论 高血压脑出血后血压水平与病死率相关 ,血压越高 ,病死率越高 ;降压幅度过快过多 ,病死率亦增加。脑出血后血压升高 ,适当降压治疗 。

Objectives To investigate the relationship between blood pressure level and mortality in hypertensive intracerebral hemorrhage patients. Methods 138 hypertensive hemorrhage patients demonstrated by per-skull CT were analysed retrospectively. Results the mortality in hypertensive hemorrhage patients in early stage was correlated to the blood pressure level:while BP≥230/130 mmHg or BP≥220/100 mmHg, and BP>200/100 mmHg the mortality were 39.7%, 31.8% and 9.1%, respectively; After antihypertensive therapy, the decrease of mortality could be achived: while Bp lowered≥35%, or≤20%, the mortality were 27.1% and 7.1%, respectively. Conclusions The mortality was correlated to the Bp level in hypertensive intracerebral hemorrhage patients in their early stage: the higher the BP, the higher the mortality; lowering Bp too soon or too much accounted for the increase of mortality; The decrease of mortality could be achieved by moderately antihypertensive therapy.