高血压脑出血急性期血压控制对再出血发生率的影响

摘要

探讨高血压脑出血急性期再出血发生率与首发出血部位及早期血压控制水平的相互关系。方法对安徽省马鞍山市中心医院231例高血压脑出血患者中36例再出血患者的诊疗效果进行回顾性分析。结果脑出血和再出血易发于丘脑和壳核部位，而急性期血压控制水平对再出血发生率有重要影响，血压控制水平低于160 mmHg患者再出血发生率与血压恢复正常患者接近，而血压不能稳定控制在160 mmHg下，患者发生再出血的概率明显增大。结论高血压脑出血患者急性期血压控制水平可略高于正常人，但仍应采取积极的血压控制措施。%Objective Investigation on the incidence of re-hemorrhage with relationship offirst hemorrhage site and blood pressure control in acute stage for the hypertensive cerebral hemorrhage patients.Methods Review of diagnosis and treatment effects in 231 cases of hypertensive cerebral hemorrhage patients including 36 cases of re-hemorrhage patients.Results Cerebral hemorrhage and re-hemorrhage are more likely to occur in the thalamus and putamen. Blood pressure control in acute stage has influence on the incidence of re-hemorrhage. When the blood pressure control level is lower than 160 mmHg, the re-hemorrhage rate is similar with the patients whose blood pressure returns to normal. Meanwhile the re-hemorrhage rate is increased when the blood pressure can not be stability controlled under the 160 mmHg.Conclusion The blood pressure level in hypertension cerebral hemorrhage patients can be controlled slightly lower than 160 mm Hg, but still need positive measures to control the blood pressure for the hypertensive cerebral hemorrhage patients.