| 罗志平,邹艳,肖建平.老年性高血压脑出血进行积极降压对早期血肿增长的影响[J].浙江中西医结合杂志,2015,25(8): |
| 老年性高血压脑出血进行积极降压对早期血肿增长的影响 |
| growth in elderly acute intracerebral hemorrhage |
| 投稿时间：2014-10-07 修订日期：2015-03-08 |
| DOI： |
| 中文关键词: 老年脑出血 高血压 积极降压 血肿增长 |
| 英文关键词: |
| 基金项目: |
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| 摘要点击次数: 835 |
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| 中文摘要: |
| 【摘要】目的:比较脑出血急性期积极降压治疗与对照组控制血压对早期血肿增长的影响。
方法：采用前瞻性随机对照研究设计，收集2012年10月到2014年5月于永康市中医院连续入院的脑出血患者共64例，分为积极降压组(n=33)和对照组(n=31)，分别予以早期积极降压治疗(入组后立即降压，目标收缩压≤140 mmHg)和普通降压治疗(收缩压≥180mmHg才开始降压治疗)，24 h后复查头颅CT测量血肿体积。
结果：两组24h内收缩压下降的百分比分别为22.4%,10.2%，24 h血肿扩大比例积极降压组为16.1％，对照组为42.5％。24 h平均血肿扩大体积两组比较差异具有统计学意义(3.3mL，7.9mL，P=0．037)
结论：脑出血早期进行积极降压可以减缓早期血肿扩大。 |
| 英文摘要: |
| 【】:Objective: To compare cerebral hemorrhage active antihypertensive treatment and control group of early hematoma growth. Methods: A prospective randomized controlled study design, collected 64 cerebral hemorrhage patients lived in Yong kang shi zhong hospital in October 2012 to May 2014,divided into groups intensive blood pressure reduction (n = 33) and control group (n = 31), respectively, intensive blood pressure reduction treatment ( immediately antihypertensive after enrollment, target SBP ≤140 mmHg) and common antihypertensive therapy (SBP ≥180mmHg began antihypertensive treatment), to review of head CT scan measured hematoma volume after 24 hours. Results::systolic blood pressure decreased rate in 24 hours for the two group were 22.4%, 10.2%, ratio of hematoma expansion in 24 hours intensive blood pressure reduction was 16.1% and the control group was 42.5%. 24 hours average hematoma volume expanded the difference was statistically significant (3.3mL, 7.9mL, P = 0.037) Conclusion: cerebral hemorrhage early active antihypertensive treatment can slow down the expansion of hematoma |
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