期刊文献+

脑出血急性期降压治疗对短期病情恢复及预后的影响 被引量:3

原文传递
导出
摘要 目的探讨对脑出血患者早期降压干预对病情恢复及预后的影响。方法对120例高血压脑出血急性期患者进行分组(降压治疗组与非降压治疗组)对比,观察血压、血肿变化、神经功能的恢复及病死率、脑梗死发生率等指标。结果两组患者在住院期间神经功能恢复及脑梗死的发生率差异有显著性;血压、血肿及病死率、再梗死率等指标差异无显著性;随访上述观察指标无明显差异。结论未使用降压药物组病后脑神经功能恢复快,脑梗死发生率低,随访观察病死率及再梗死率等并发症并无明显差异,降压治疗未显示明显优点。
出处 《中国综合临床》 北大核心 2006年第7期593-594,共2页 Clinical Medicine of China
关键词 高血压 脑出血
  • 相关文献

参考文献5

二级参考文献36

  • 1[1]al Rawi PG, Hutchinson PJ, Gupta AK, et al. Multiparameter brain tissue monitoring-correlation between parameters and identification of CPP thresholds. Zentralbl Neurochir, 2000, 61:74-79.
  • 2[2]Artru F, Jourdan C, Perret-Liaudet A, et al. Low brain tissue oxygen pressure: incidence and corrective therapies. Neurol Res, 1998, 20(Suppl 1):S48-S51.
  • 3[3]Asgeirsson B, Grande PO, Nordstrom CH. A new therapy of posttrauma brain oedema based on haemodynamic principles for brain volume regulation. Intensive Care Med, 1994, 20:260-267.
  • 4[4]Bouma GJ, Muizelaar JP, Choi SC, et al. Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg, 1991, 75:685-693.
  • 5[5]The Brain Trauma Foundation. The American Association of Neurological Surgeons. The Joint Section on Neurotrauma and Critical Care: Guidelines for cerebral perfusion pressure. J Neurotrauma,2000, 17:507-511.
  • 6[6]Bruzzone P, Dionigi R, Bellinzona G, et al. Effects of cerebral perfusion pressure on brain tissue PO2 in patients with severe head injury. Acta Neurochir, 1998, 71 Suppl:111-113.
  • 7[7]Chan KH, Dearden NM, Miller JD, et al. Multimodality monitoring as a guide to treatment of intracranial hypertension after severe brain injury. Neurosurgery, 1993, 32:547-553.
  • 8[8]Chan KH, Miller JD, Dearden NM, et al. The effect of changes in cerebral perfusion pressure upon middle cerebral artery blood flow velocity and jugular bulb venous oxygen saturation after severe brain injury. J Neurosurg, 77:55-61.
  • 9[9]Chesnut RM, Marshall LF, Klauber MR, et al. The role of secondary brain injury in determining outcome from severe head injury. J Trauma, 1993, 34:216-222.
  • 10[10]Contant CF, Valadka AB, Gopinath SP, et al. Adult respiratory distress syndrome: a complication of induced hypertension after severe head injury. J Neurosurg, 2001, 95:560-568.

共引文献33094

同被引文献21

  • 1崔尧元,张晓彪.影响老年高血压脑出血外科治疗成功率的因素[J].临床,1994,1(2):59-60. 被引量:2
  • 2饶明俐.《中国脑血管病防治指南》摘要(四)[J].中风与神经疾病杂志,2006,23(2):132-136. 被引量:88
  • 3Leonardi-Bee J, Bath PM, Phillips SJ, et al. Blood pressure and clinical outcomes in the International Stroke Trial [ J ]. Stroke, 2002,33 (5) : 1315-1320.
  • 4CAST Collaborative Group. CAST: randomized placebo-controlled trial of early aspirin use in 20,000 patients with acute isehaemie stroke [J]. Lancet, 1997,349(9066):1641-1649.
  • 5Robinson TG, Dawson SL, Abmed U. Twenty-four hour systolic blood pressure predicts long-term mortality following acute stroke [ J ]. J Hypertens ,2001,19 ( 12 ) :2127-2134.
  • 6Seestedt RC, Frankel MR. Intracerebral Hemorrhage [J]. Curr Treat Options Neurol, 1999,1 (2) :127-137.
  • 7Thrift AG. Editorial comment-Minor risk factors for intracerebral hemorrhage : the jury is still out [ J]. Stroke, 2003,34 ( 8 ) : 2065- 2066.
  • 8Willmot M, Leonardi-Bee J, Bath PM. High blood pressure in acute stroke and subsequent outcome: a systematic review [J]. Hypertension ,2004,43 ( 1 ) : 18-24.
  • 9Kazui S, Minematsu K, Yamamoto H, et al. Predisposing factors to enlargement of spontaneous intracerebral hematoma [J]. Stroke, 1997,28(12) :2370-2375.
  • 10Antihypertensive Treatment of Acute Cerebral Hemorrhage ( ATACH ) investigators. Antihypertensive treatment of acute cerebral hemorrhage [ J]. Crit Care Med,2010,38(2):637-648.

引证文献3

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部