早期积极降压治疗高血压脑出血的疗效观察.docVIP

早期积极降压治疗高血压脑出血的疗效观察 　　[摘要] 目的 探讨早期积极降压治疗高血压脑出血的疗效情况。方法 方便选取并分析该院2013年1月―2016年1月收治的80例高血压脑出血患者临床资料，依据是否实施早期积极降压治疗进行分组，普通治疗组40例和早期积极降压治疗组40例。结果 两组高血压脑出血患者治疗前血肿体积、NIHSS评分均差异无统计学意义，P0.05，治疗后普通治疗组和早期积极降压治疗组血肿体积高于治疗前，NIHSS评分低于治疗前，早期积极降压治疗组治疗后血肿体积（22.6±7.0）、NIHSS评分（15.2±2.8）低于普通治疗组（31.6±8.5）、（20.6±3.1），早期积极降压治疗组复发率2.5%、致残率50%、致死率0和脑卒中发生率2.5%均低于普通治疗组12.5%、80%、7.5%、15%，P0.05，差异均有统计学意义。结论 早期积极降压治疗高血压脑出血可以改善患者临床症状，预后良好，值得推广应用。 　　[关键词] 早期积极降压；高血压；脑出血；疗效 　　[中图分类号] R74 [文献标识码] A [文章编号] 1674-0742（2016）06（b）-0013-03 　　[Abstract] Objective To approach curative effect of treatment high blood pressure cerebral hemorrhage by early positive step-down. Methods Convenient selection the 80 cases clinical data of high blood pressure cerebral hemorrhage patients in our hospital from January 2013 to January 2016，which was to be divided into two groups by carrying out early positive step-down or not，general treatment group 40 cases and early positive step-down group 40 cases. Results The hematoma volume、NIHSS score of two groups high blood pressure cerebral hemorrhage patients before treatment were no difference，P0.05，the hematoma volume of general treatment group and early positive step-down group after treatment was higher than before treatment，NIHSS score was lower than before treatment，the hematoma volume（22.6±7.0）、NIHSS score （15.2±2.8）of early positive step-down group after treatment were lower than general treatment group（31.6±8.5）、（20.6±3.1），the recurrence rate2.5%、disability rate50%、fatality rate 0 and stroke rate2.5% of early positive step-down group were lower than general treatment group12.5%、80%、7.5%、15%，P0.05，the difference were statistical significance. Conclusion The early positive step-down treatment high blood pressure cerebral hemorrhage could improve clinical symptoms，prognosis is good，which is to be used. 　　[Key words] Early positive step-down；High blood pressure；Cerebral hemorrhage；Curative effect 　　高血压脑出血是临床常见的颅内血管发生病变、坏死及破裂的一种脑血管疾病。高血压脑出血具有发病率高，致残率高，和致死率高等特点[1