| 摘要: |
| ［摘要］ 目的 探讨高血压脑出血(HICH)患者早期强化降压联合亚低温治疗对术后再出血及预后的影响。方法 选择2008-01～2012-03入院时血压>180/105 mmHg，病程<24 h的HICH患者160例，并且行颅内血肿微创穿刺清除术；随机分为强化降压联合亚低温治疗组(A组)80例及指南标准降压组(B组)80例,分别给予强化降压联合亚低温治疗及指南标准降压治疗；观察A、B两组术后再出血及术后2个月日常生活能力的情况。结果 A组再出血2例,B组再出血10例，再出血率A组低于B组（P<0.05）；术后2个月A组日常生活能力好于B组(P<0.05)。结论 早期强化降压联合亚低温治疗能比较有效地降低HICH患者术后再出血的发生率，并能较好地改善预后，值得临床推广应用。 |
| 关键词: 强化降压 亚低温治疗 高血压脑出血 |
| DOI：10.3969/j.issn.1674-3806.2013.05.07 |
| 分类号:R 743 |
| 基金项目:崇左市研究与技术开发计划项目（编号：崇科攻11051230） |
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| Influence of early intensive antihypertensive therapy combined with sub-hypothermia on the cerebral hemorrhage patients after minimally invasive surgery |
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ZHONG You-an,XIAO Kai-min,ZHONG Liang,et al.
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Department of Neurology,National Hospital of Guangxi, Nanning 530001,China
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| Abstract: |
| ［Abstract］ Objective To investigate the influence of early intensive antihypertensive therapy combined with sub-hypothermia on recurrent hemorrhage and prognosis of the hypertension intracerebral hemorrhage(HICH) patients after minimally invasive surgery.Methods One hundred and sixty acute HICH patients with blood pressure >180/105 mmHg, the course of <24 h, and executed minimally invasive surgery were chosen; then the patients were divided into early intensive antihypertensive therapy combined with sub-hypothermia group(group A, 80 cases) and standard guideline antihypertensive therapy group(group B,80 cases) randomly,and the situation in two groups was observed of recurrent hemorrhage and daily living ability after two months.Results Recurrent hemorrhage was found 2 cases in group A, 10 cases in group B.There was statistical difference between the two groups on recurrent hemorrhage and daily living ability after two months (P<0.05).Conclusion Early intensive antihypertensive therapy combined with sub-hypothermia can reduce the incidence of recurrent hemorrhage and improve the prognosis effectively, it is worthy of extending. |
| Key words: Early intensive antihypertensive therapy Sub-hypothermia treatment Hypertension intracerebral hemorrhage(HICH) |
