脑出血急性期合并高血压患者血压与血肿、水肿的相关性研究.docVIP

精品论文 参考文献 脑出血急性期合并高血压患者血压与血肿、水肿的相关性研究 新晃县人民医院 湖南新晃 419200 【摘 要】目的 探讨脑出血急性期合并高血压患者血压与血肿、水肿的相关性。方法 选取2014 年11月～2015年11月间我院收治的脑出血急性期合并高血压患者50例作为研究对象，将SBP＜150mmHg记为A组，将SBPge;150mmHg记为B组，比较两组患者脑出血后舒张压、收缩压以及平均血压指标的变化情况；记录和分析血肿体积和血肿周围水肿体积的变化情况。结果 脑出血后患者舒张压、收缩压以及平均血压指标均显著升高，与A组相比，B组升高更为明显，两组间差异具有统计学意义（P＜0.01）；A组血肿扩大率为15.00%，B组为53.33%，B组显著高于A组，两组间具有显著性差异（P＜0.01）。结论 脑出血急性期合并高血压患者的血压控制程度与血肿扩大有一定的关系，且收缩压波动在一定程度上会加速血肿及血肿周围水肿的扩大。 【关键词】脑出血；急性期合并高血压；血压；血肿；水肿 【Abstract 】 objective to investigate the acute phase of cerebral hemorrhage blood pressure of hypertension patients and the correlation of hematoma，edema.Method selection in November 2014 to November 2015，our hospital between the acute phase of cerebral hemorrhage of 50 patients with hypertension as the research object，the SBP lt; 150 MMHG for group A，the SBP 150 MMHG or higher in group B，compared two groups of patients with cerebral hemorrhage after the diastolic and systolic blood pressure and mean blood pressure index；Record and analyze the hematoma volume and edema around the hematoma volume changes.Results cerebral hemorrhage patients after diastolic and systolic blood pressure and mean blood pressure index were significantly increased，compared with group A，group B increased more obviously，statistically significant difference between the two groups（P lt; 0.01）；A group of hematoma is expanding at A rate of 15.00%，B group was 53.33%，significantly higher than that of group A，group B has A significant difference between the two groups（P lt; 0.01）.Conclusion blood pressure of hypertension patients with the acute phase of cerebral hemorrhage control level have a certain relationship with hematoma expansion，and systolic blood pressure fluctuations in a certain extent can accelerate the hematoma and edema around the hematoma enlargement. 【Key words 】 acute phase of cerebral hemorrhage with hematoma edema，high blood pressure，blood pressure 脑出血急性期合并高血压是一种临床神经内科常见的疾病，且急性期致死率约为36%[1]。脑