The Analysis Of Blood Pressure And Prognosis In Acute Cerebral Hemorrhage Patients

Background and Purpose: Recently many clinic studies are about the blood pressure reduction in acute cerebral hemorrhage patients and whether it is necessary to have antihypertensive treatment and it is beneficial to prognosis or not. There is a controversy. We study the acute cerebral hemorrhage patients to known the relationship between SBP differentials(before and after stroke)and hematoma enlargement,the partial correlation analysis of the influencing factors of prognosis.Methods: The study included 90 patients with hypertension and CT- confirmed intracerebral hemorrhage. They were sent to hospital in 6 hours after stroke and be there for 15 days at least. We recorded the sex, age, amount of bleeding, the position of bleeding, the blood pressure of patients in hospitalized period and prognosis difference which we adopt the NIHSS% to assess. Spearman Correlation Coefficients for statistical analysis.RESULTS: 1.By study 90 patients who reviewed CT after 24 hours in hospital, finding that when the△SBP≥50mmHg , hematoma growth over 24 hours in intracerebral hemorrhage are more significant P=0.028. Irregular shape of hematoma can increase hematoma volume significantly P=0.034.2. Prognosis is associated with the△SBP after stroke , P=0.017. When the△SBP≥50mmHg, the lower of NIHSS% is,the worse of prognosis is.3.The amount of bleeding, hematoma growth are all associated with prognosis in negative relationship, Ps are 0.005 and 0.007.CONCLUSIONS: 1.When the△SBP≥50 mmHg , hematoma growth over 24 hours in acute intracerebral hemorrhage are more significant. Irregular shape of hematoma can increase hematoma volume significantly too.2. When the△SBP≥50mmHg, the lower of the NIHSS% is. the worse of prognosis is.3.The amount of bleeding, hematoma growth are all associated with prognosis. The more amount of bleeding, the more possibility of hematoma growth, the lower of the NIHSS% is, the worse of prognosis.