發(fā)布時間：2018-03-04 23:20

  本文選題：腦出血　切入點：降壓　出處：《臨床合理用藥雜志》2016年33期 　論文類型：期刊論文

【摘要】：目的探討早期差別化降血壓治療急性腦出血的臨床療效。方法選取2013年1月—2015年8月桂林醫(yī)學院第二附屬醫(yī)院收治的急性腦出血患者102例,隨機分成對照組與治療組,各51例。對照組患者給予常規(guī)降血壓治療,治療組患者給予差別化降血壓治療。比較兩組患者治療前后血腫體積、美國國立衛(wèi)生院卒中量表(NIHSS)評分、臨床療效。結果治療前兩組患者的血腫體積比較,差異無統(tǒng)計學意義(P0.05);治療后治療組小出血量患者血腫體積小于對照組,差異有統(tǒng)計學意義(P0.05);治療后兩組大出血量患者血腫體積比較,差異無統(tǒng)計學意義(P0.05)。治療前兩組患者NIHSS評分比較,差異無統(tǒng)計學意義(P0.05);治療后治療組小出血量患者NIHSS評分低于對照組,差異有統(tǒng)計學意義(P0.05);治療后兩組大出血量患者NIHSS評分比較,差異無統(tǒng)計學意義(P0.05)。觀察組小出血量患者總有效率高于對照組,差異有統(tǒng)計學意義(P0.05);兩組大出血量患者總有效率比較,差異無統(tǒng)計學意義(P0.05)。結論急性腦出血患者應用早期差別化降血壓治療能明顯改善小出血量患者的臨床療效,可有效改善患者神經功能缺損情況,但是對于大出血量患者療效不明顯。
[Abstract]:Objective to investigate the clinical efficacy of early differential hypotension in the treatment of acute cerebral hemorrhage. Methods 102 patients with acute cerebral hemorrhage treated in the second affiliated Hospital of Guilin Medical College from January 2013 to August 2015 were randomly divided into control group and treatment group. Patients in the control group were treated with conventional hypotension therapy, and the patients in the treatment group were treated with differential hypotension therapy. The volume of hematoma was compared between the two groups before and after treatment, and the NIHSS score was evaluated by the National Institutes of Health Stroke scale. Results there was no significant difference in hematoma volume between the two groups before treatment, and the hematoma volume in the treatment group was smaller than that in the control group after treatment. There was no significant difference in hematoma volume between the two groups after treatment, and there was no significant difference in hematoma volume between the two groups after treatment. The NIHSS scores of the two groups were compared before and after treatment, and there was no significant difference in the volume of hematoma between the two groups before treatment. After treatment, the NIHSS score of the patients with small bleeding volume in the treatment group was lower than that in the control group, and the difference was statistically significant (P 0.05). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P 0.05), the total effective rate of the two groups was higher than that of the control group, and the total effective rate of the two groups was higher than that of the control group. Conclusion early differential hypotension therapy in patients with acute intracerebral hemorrhage can obviously improve the clinical effect of patients with small amount of blood loss, and can effectively improve the neurological deficit in patients with acute intracerebral hemorrhage. But the curative effect is not obvious for the patient with large amount of blood loss.
【作者單位】： 桂林醫(yī)學院第二附屬醫(yī)院急診科;
【分類號】：R743.34

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