摘要
目的:探讨高血压脑出血患者急性期血肿扩大的影响因素。方法:随机选取2015年2月-2016年2月经诊断并治疗的高血压脑出血患者230例,其中出现急性期血肿扩大患者36例(A组),未出现血肿扩大患者194例(B组),记录并比较两组患者的临床症状。结果:A组中血肿不规则、烦躁不安及甘露醇应用比例明显高于B组,差异均有统计学意义(P<0.05)。A组患者血压明显高于B组,差异有统计学意义(P<0.05)。两组患者肝功能异常、饮酒、糖尿病比例比较差异有统计学意义(P<0.05)。结论:高血压脑出血患者血肿扩大与患者肝功能、饮酒史、糖尿病史、血肿形态、甘露醇药物使用情况以及发病时的血压等因素有关。有效的治疗对预防高血压脑出血急性期血肿扩大具有重要的临床意义。
Objective： To explore the clinical factors of acute hematoma enlargement in patients with hypertensive intracerebral hemorrhage. Methods： All 230 patients diagnosised and treated as hypertensive intracerebral hemorrhage was randomly selected from February 2015 to February 2016. 36 patients with acute hematoma enlargement were group A; 194 patients with no hematoma enlargement were group B,the clinical symptoms of the two groups were recorded and compared. Results： The proportion of hematoma irregularities,irritability and mannitol in group A was significantly higher than that in group B,the difference was statistically significant（ P〈0. 05）. The blood pressure of group A was significantly higher than that of group B,the difference was statistically significant（ P〈0. 05）. There were significant differences in liver function abnormality,alcohol consumption and diabetes mellitus between the two groups（ P〈0. 05）. Conclusion： Hypertensive intracerebral hemorrhage hematoma expansion in patients with increased blood pressure,abnormal liver function,alcohol,diabetes,hematoma morphology,improper use of mannitol drugs are caused by hematoma expansion of the main factors. Effective prevention of the treatment of hypertensive intracerebral hemorrhage acute hematoma expansion has clinical significance.
出处
《临床医药实践》
2017年第8期584-586,共3页
Proceeding of Clinical Medicine
关键词
高血压
脑出血
急性期血肿扩大
相关因素
hypertension
cerebral hemorrhage
acute hematoma enlargement
relevant factor
