舒张压及丘脑出血预后关系探究.docVIP

舒张压及丘脑出血预后关系探究【摘要】 目的 探讨舒张压对丘脑出血患者预后的影响。方法 回顾性分析我科2000年3月至2009年6月收治的200例丘脑出血患者的临床资料，以入院初始舒张压水平为分组依据，将所有患者分为低血压组(舒张压90 mm Hg)，比较不同舒张压水平患者预后分布差别。结果 所有丘脑出血病例中，合并低血压者20例(10.0%)，正常血压者56例(28.0%)，高血压者124例(62.0%)，在治疗过程中继发脑出血患者18例(9.0%)，均为高血压组患者；其中，低血压组死亡病例2例(10.0%)，正常血压组死亡3例(5.4%)，高血压组死亡11例(8.9%)，与正常舒张压患者相比较，合并低舒张压病例死亡率最高，其次为高舒张压病例(P=0.030)。 结论 舒张压对丘脑出血患者预后的影响具有重要作用，其中，舒张压过低及过高者提示预后不良。 【关键词】丘脑出血；舒张压；预后 Relationships between diastolic blood pressure and prognostic of thalamic hemorrhage Chen Jin-fei, Li Jia-liang, Chen Wei-ping.Department of Neurosurgery,Boluo People’s Hospital, Guangdong 516000,China 【Abstract】 Objective To explore the affection of diastolic blood pressure on prognostic of patients with thalamic hemorrhage. Methods Retrospectively reviewed clinical data of 200 patients with thalamic hemorrhage in our departments from March 2000 to June 2008. Patients were divided in three groups based on diastolic blood pressure(DBP)when admission; hypotensive group(DBP90 mm Hg). Different prognostic distributions were compared among the three groups with different level of DBP. Results Of the total patients with thalamic hemorrhage, 10.0%(20)presented with hypotension, 28.0%(56)were normotensive and 62.0%(124)were hypertensive. In the hypotensive group, 10.0%(2)patients died as compared to 5.4%(3)in normotensive group and 8.9%(11)in hypertensive group, among all the cases, patients with hypotensive seemed like to have a higher mortality(P=0.030).Conclusion Level of diastolic blood pressure played a very important role in the prognostic of patients with thalamic hemorrhage, patients with over-low or high diastolic blood pressure were predictors of poor outcome. 【Key words】Thalamic hemorrhage; Diastolic blood pressure; Prognostic 丘脑出血是中老年人脑出血的一种常见形式，具有高发病率、高致死、致残率的流行病学特点，有大样本量流行病学调查结果显示，在自发性脑出血患者中，丘脑出血占38%，33%，45.1%［1-3］，其死亡率达9%［2］。因此，如何实施有效的临床干预以改善该类患者的预后对于降低其致死、致残率具有重要意义。 1 资料与方法 1.1 一般资料 收集2000年3月至2009年6月入住我科的200例丘脑出血患者的临床资料，以入院初始舒张压水平为分组依据，将所有患者分为