摘要
目的探讨高血压脑出血(HICH)患者早期强化降压联合亚低温治疗对术后再出血及预后的影响。方法选择2008-01～2012-03入院时血压>180/105mmHg,病程<24h的HICH患者160例,并且行颅内血肿微创穿刺清除术;随机分为强化降压联合亚低温治疗组(A组)80例及指南标准降压组(B组)80例,分别给予强化降压联合亚低温治疗及指南标准降压治疗;观察A、B两组术后再出血及术后2个月日常生活能力的情况。结果 A组再出血2例,B组再出血10例,再出血率A组低于B组(P<0.05);术后2个月A组日常生活能力好于B组(P<0.05)。结论早期强化降压联合亚低温治疗能比较有效地降低HICH患者术后再出血的发生率,并能较好地改善预后,值得临床推广应用。
Objective To investigate the influence of early intensive antihypertensive therapy combined with sub-hypothermia on recurrent hemorrhage and prognosis of the hypertension intracerebral hemorrhage（HICH） patients after minimally invasive surgery. Methods One hundred and sixty acute HICH patients with blood pressure 〉 180/ 105 mmHg, the course of 〈 24 h, and executed minimally invasive surgery were chosen; then the patients were di- vided into early intensive antihypertensive therapy combined with sub-hypothermia group （ group A, 80 cases） and standard guideline antihypertensive therapy group（group B, 80 cases） randomly, and the situation in two groups was observed of recurrent hemorrhage and daily living ability after two months. Results Recurrent hemorrhage was found 2 cases in group A, 10 cases in group B. There was statistical difference between the two groups on recurrent hemor- rhage and daily living ability after two months （ P 〈 0.05 ）. Conclusion Early intensive antihypertensive therapy combined with sub-hypothermia can reduce the incidence of recurrent hemorrhage and improve the prognosis effective- ly, it is worthy of extending.
出处
《中国临床新医学》
2013年第5期423-425,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
崇左市研究与技术开发计划项目(编号:崇科攻11051230)
关键词
强化降压
亚低温治疗
高血压脑出血
Early intensive antihypertensive therapy
Sub-hypothermia treatment
Hypertension intrace-rebral hemorrhage（HICH）
