摘要
目的 :探讨高血压性脑出血再发危险因素。方法 :对收治的 6 1例高血压性脑出血再发患者进行回顾性分析。结果 :高血压性脑出血的再发率为 7.2 9% ,再次出血的临床表现较首次重 ,出血量较首次大 ,合并症较首次多 ,病死率明显升高 ;再次出血组与一次出血组的血压中平均收缩压无显著差异 (P>0 .0 5 ) ,但舒张压大于 90、95 mm Hg、收缩压大于 2 0 0 mm Hg及舒张压大于 95 mm Hg同时收缩压大于 2 0 0 mm Hg病例中 ,均与一次出血组存在极显著差异 (P<0 .0 1)。结论 :抓好血压的管理 ,是预防高血压性脑出血再发的关键。
Objective: To study the risk factors for the recurrence of hypertensive brain hemorrhage(HBH).Methods: Eight hundred and thirty-seven patients with HBH were analysed in review or followed up. And sixty-one patients had recrudesced. Blood pressure (BP) and other clinical features were compared between recurrence group and nonrecurrence group.Results: The recrudesce rate of HBH was 7.29%. And the clinical symptom was heavier, hemorrhagic capacities were greater, intercurrent diseases were more and mortality was higher than that of nonrecurrence group. The patients of diastolic BP≥90mmHg, diastolic BP≥95mmHg, systolic BP≥200mmHg, both diastolic BP≥95mmHg and systolic BP≥200mmHg were more than that in the nonrecurrence group.The differences were significant(P<0.01). And the average systolic BP of two groups had no significantly differences(P>0.05).Conclusion: The key for preventing the recurrence of hypertensive brain hemorrhage is to control blood pressure.
出处
《华夏医学》
2004年第6期886-888,共3页
Acta Medicinae Sinica
关键词
高血压性脑出血
再发危险因素
血压
hypertensive brain hemorrhage
risk factors for the recurrence
blood pressure
