Study On The Relationship Of Blood Pressure Index And Early Hypertensive Hemorrhage Hematoma Enlargement

OBJECTIVE By antihypertensive therapy to prevent the expansion of hematoma inhypertensive cerebral hemorrhage, to explore the relationship between the hematomaenlargement and systolic blood pressure(SBP), diastolic blood pressure(DBP) and bloodpressure variability(BPV).METHODS To collect179cases of hypertensive cerebral hemorrhage, earlyintravenous urapidil and adjust the dose, make blood pressure target values (meanarterial pressure of110mmHg).According to the admission of cranial ComputedTomography (CT) and24hours after admission.CT changes into the hematomaenlargement group and hematoma enlargement group without. Monitoring afteradmission24hours ambulatory blood pressure, SBP, DBP and BPV index (representedby the blood pressure mean±standard deviation), analysis of the relationship betweenthe hematoma enlargement and.RESULTS The hematoma enlargement group24cases, hematoma without expandingthe group of155cases. The hematoma enlargement group maximum systolic pressure,maximum diastolic pressure, mean systolic pressure,average diastolic blood pressurewere185.29±14.09mmHg,100.58±10.39mmHg,155.45±10.85mmHg,85.57±7.64mmHg; hematoma enlargement group not maximal systolic pressure, diastolicpressure, average systolic blood pressure and diastolic pressure were177.99±13.29mmHg,100.93±9.82mmHg,150.03±10.04mmHg,88.26±7.57mmHg. Two groupsof maximal systolic pressure, average systolic blood pressure had significant difference(P<0.05), maximum diastolic blood pressure, mean diastolic blood pressure had no significant difference (P>0.05). The hematoma enlargement group systolic pressure,diastolic pressure variation were13.94±3.18mmHg,8.46±2.19mmHg; hematomawithout enlargement of systolic blood pressure, diastolic blood pressure variation were12.72±3.97mmHg,7.89±2.16mmHg; the two group of24hour systolic and diastolicblood pressure variability showed no significant difference (P>0.05).CONCLUSION hypertensive cerebral hemorrhage early enlargement of hematoma andMaximum systolic pressure, average systolic blood pressure are related, with statisticalsignificance, and the maximum diastolic blood pressure, mean diastolic blood pressureand blood pressure variability index no relationship, no statistical significance.