Empirical study on the relationship between commanding blood pressure and prognostic condition from 82 cases following acute cerebral hemorrhage
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    Abstract:

    Objective:To observe the effects of commanding blood pressure on prognostic condition of cerebral hemorrhage and to explore how to do. Methods:82 patients with cerebral hemorrhage(the basal regions) were divided into two groups randomly:one group(the treated group, n = 41) received a standardized command of blood pressure which included both a individual-based value range in blood pressure and a standardized treatment based on staging, drug selection, drug combination and overall target getting, and the control group(n = 41) received a traditional commanding of blood pressure. Two groups were scored with both The Chinese Stoke Clinical Scale(1995,CCSS) and Scandinavian Stroke Scale(SSS) on the day after stoke, 7days, 14days and 3months each following. The scores were statistically analyzed. Results:①The death ratio(within 3 months) in the treated group was lower than that in the control group(P < 0.01). ②The scores in the treated group were more energetic in maintain the neurons function than in the control group(CCSS,2w,3m,P < 0.01;SSS 2w,3m,P < 0.01). ③Compared pairedly with the group’s which had been not hospital cared still, the scores of the others in both the treatment and the control were changed effectively(P < 0.01). But not find a correlation between the scores of the groups after treatment and that before treatment(P < 0.01), which means prognostic condition maybe independent from the scores of the groups before treatment. ④By the way of regression analysis, not find a coefficient between the prognostic condition and each cases among age, sexuality and the amount of hemorrhage(r = 0.256,0.273,0.595). Conclusion:Commanding blood pressure standardized by the way of staging and principle above was feasible, and the standard commanding was beneficial to patients in acute cerebral hemorrhage.

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刘文旭,潘 晖,李晓波.规范化血压管理与治疗对急性脑出血(基底节区)预后影响的临床研究[J].南京医科大学学报(自然科学版英文版),2009,29(4):520-523.

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  • Received:April 22,2008
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