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早期强化降压对高血压脑出血患者颅内血肿及周围水肿的影响 被引量:7

Influence of intensive blood lowering therapy on intracranial hematoma and peripheral edema of patients with hypertensive intracerebral hemorrhage
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摘要 目的探讨高血压脑出血患者采用早期强化降压治疗的效果,并观察其颅内血肿、周围血肿变化情况。方法纳入成都航天医院收治的高血压脑出血患者113例,按照治疗方式不同分为常规组(55例)、治疗组(58例)。2组均给予常规治疗,治疗组在此基础上实施早期强化降压治疗,比较2组治疗效果、颅内血肿/水肿扩大率以及生活质量评分。结果治疗组有效率为94.83%,高于常规组的76.36%,2组对比差异有统计学意义(P<0.05);治疗组血肿/水肿扩大率5.17%,较常规组的18.18%更低,且生活质量评分高于常规组,组间比较差异有统计学意义(P<0.05)。结论临床对高血压脑出血患者进行早期强化降压治疗,能降低血肿/水肿扩大风险,间接提高生活质量,值得临床推广。 Objective To investigate the effect of intensive blood lowering therapy on intracranial hematoma and peripheral edema of patients with hypertensive intracerebral hemorrhage.Methods A total of 113 cases with hypertensive intracerebral hemorrhage in Chengdu Aerospace Hospital were selected and divided into common group(55 cases)and treatment group(58 cases).They were all given common treatment.Treatment group was given blood pressure lowering therapy based on control group.The treatment effect,intracranial hematoma/edema expansion rate and life quality score were compared.Results The effective rate of treatment group(94.83%)was higher than that of common group(76.36%),the difference was significant(P<0.05);the hematoma/edema expansion rate of treatment group(5.17%)was lower than that of control group(18.18%),the life quality score was higher than common group,the difference between the two groups was significant(P<0.05).Conclusion The application of intensive blood lowering therapy for patients with hypertensive intracerebral hemorrhage can lower the risk of hematoma/edema expansion,hematoma/edema expansion life quality and is worthy of clinical application.
作者 黄明
出处 《中国实用神经疾病杂志》 2017年第19期55-57,共3页 Chinese Journal of Practical Nervous Diseases
关键词 高血压脑出血 颅内血肿 强化降压 Hypertensive cerebral hemorrhage Intracranial hematoma Intensive blood lowering therapy
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