中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
6期
27-28,29
,共3页
ICH%血压水平%关联性%MAP%PP
ICH%血壓水平%關聯性%MAP%PP
ICH%혈압수평%관련성%MAP%PP
ICH%Blood Pressure Levels%Correlationship%MAP%PP
目的：对脑出血（IC H ）患者急性期血压水平与临床表现及预后的相关性进行研究。方法对我院2011-07-2013-06因急性ICH入院的84例患者的临床资料进行回顾性分析。结果出血量＞30 mL组中SBP＞180 mmHg患者比例显著高于160 mmHg＜SBP≤180 mmHg以及SBP≤160 mmHg的患者；患者血肿扩大与SBP≥220 mmHg、ΔSBP≥50 mm-Hg以及MAP＞150 mmHg相关；患者按照预后情况分为死亡组18例和存活组66例，2组患者的SBP、DBP和MAP值差异无统计学意义，而死亡组患者的PP值明显高于存活组；且MAP≥130 mmHg患者病死率43.8％（7/16）明显高于MA P＜130 mmHg时的16.2％（11/68），差异均有统计学意义（P＜0.05）。结论急性ICH患者的血压水平与出血量和血肿扩大的关系密切，且与患者的存活率直接关联，因此IC H急性期血压的控制尤为重要。
目的：對腦齣血（IC H ）患者急性期血壓水平與臨床錶現及預後的相關性進行研究。方法對我院2011-07-2013-06因急性ICH入院的84例患者的臨床資料進行迴顧性分析。結果齣血量＞30 mL組中SBP＞180 mmHg患者比例顯著高于160 mmHg＜SBP≤180 mmHg以及SBP≤160 mmHg的患者；患者血腫擴大與SBP≥220 mmHg、ΔSBP≥50 mm-Hg以及MAP＞150 mmHg相關；患者按照預後情況分為死亡組18例和存活組66例，2組患者的SBP、DBP和MAP值差異無統計學意義，而死亡組患者的PP值明顯高于存活組；且MAP≥130 mmHg患者病死率43.8％（7/16）明顯高于MA P＜130 mmHg時的16.2％（11/68），差異均有統計學意義（P＜0.05）。結論急性ICH患者的血壓水平與齣血量和血腫擴大的關繫密切，且與患者的存活率直接關聯，因此IC H急性期血壓的控製尤為重要。
목적：대뇌출혈（IC H ）환자급성기혈압수평여림상표현급예후적상관성진행연구。방법대아원2011-07-2013-06인급성ICH입원적84례환자적림상자료진행회고성분석。결과출혈량＞30 mL조중SBP＞180 mmHg환자비례현저고우160 mmHg＜SBP≤180 mmHg이급SBP≤160 mmHg적환자；환자혈종확대여SBP≥220 mmHg、ΔSBP≥50 mm-Hg이급MAP＞150 mmHg상관；환자안조예후정황분위사망조18례화존활조66례，2조환자적SBP、DBP화MAP치차이무통계학의의，이사망조환자적PP치명현고우존활조；차MAP≥130 mmHg환자병사솔43.8％（7/16）명현고우MA P＜130 mmHg시적16.2％（11/68），차이균유통계학의의（P＜0.05）。결론급성ICH환자적혈압수평여출혈량화혈종확대적관계밀절，차여환자적존활솔직접관련，인차IC H급성기혈압적공제우위중요。
Objective To analysis the correlationship between blood pressure levels and clinical manifestations as well as prognosis of acute intracerebral hemorrhage ,and to provide a reference for the prognosis of ICH.Methods The medical records of 84 patients with acute ICH in our hospital since July 2011 were retrospectively analyzed.Results The proportion of patients with SBP≥180mmHg in bleeding volume> 30mL group was significantly higher than that with 160 < SBP≤180mmHg and SBP≤160mmHg ;hematoma expansion was correlated to SBP≥220mmHg ,ΔSBP≥50mmHg and MAP> 150mmHg ;patients were divided into two groups according to prognosis ,death group with 18 cases and survival group with 66 patients ,differences of SBP ,DBP and MAP in two groups were not statistically significant ,and PP in death group was significantly higher than that in survival group ;and mortality rate was 43.8% (7/16) in patients with MAP ≥ 130mmHg which was significantly higher than that (16.2% ) in patients with MA P<130mmHg ,and the difference were statistically significant (P<0.05).Conclusion The blood pressure levels of patients with acute ICH is closely correlated with the amount of bleeding and the portion of he-matoma expansion ,and directly correlated to patient's survival rate ,so blood pressure control in ICH acute stage is particularly important.
