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目的探讨舒张压对丘脑出血患者预后的影响。方法回顾性分析我科2000年3月至2009年6月收治的200例丘脑出血患者的临床资料,以入院初始舒张压水平为分组依据,将所有患者分为低血压组(舒张压<70mmHg)﹑正常血压组(舒张压在70～90mmHg之间)及高血压组(舒张压>90mmHg),比较不同舒张压水平患者预后分布差别。结果所有丘脑出血病例中,合并低血压者20例(10.0%),正常血压者56例(28.0%),高血压者124例(62.0%),在治疗过程中继发脑出血患者18例(9.0%),均为高血压组患者;其中,低血压组死亡病例2例(10.0%),正常血压组死亡3例(5.4%),高血压组死亡11例(8.9%),与正常舒张压患者相比较,合并低舒张压病例死亡率最高,其次为高舒张压病例(P=0.030)。结论舒张压对丘脑出血患者预后的影响具有重要作用,其中,舒张压过低及过高者提示预后不良。
Objective To investigate the effect of diastolic blood pressure on the prognosis of patients with thalamic hemorrhage. Methods The clinical data of 200 patients with thalamic hemorrhage treated in our department from March 2000 to June 2009 were retrospectively analyzed. All patients were divided into hypotension group (diastolic blood pressure <70mmHg) ﹑ Normotensive group (diastolic blood pressure between 70-90mmHg) and hypertension group (diastolic blood pressure> 90mmHg), and compared the different prognosis of patients with different diastolic blood pressure. Results In all the cases of thalamic hemorrhage, 20 cases (10.0%) had hypotension, 56 cases (28.0%) had normotensive blood pressure, 124 cases (62.0%) had hypertension, 18 cases had secondary cerebral hemorrhage 9.0%) were hypertensive patients. Among them, 2 patients (10.0%) died in the hypotension group, 3 patients (5.4%) died in the normal blood pressure group and 11 patients (8.9%) died in the hypertensive group, Compared with patients with hypertension, the patients with low DBP had the highest mortality, followed by those with high DBP (P = 0.030). Conclusions Diastolic pressure plays an important role in the prognosis of patients with thalamic hemorrhage. Among them, the diastolic pressure is too low and the prognosis is poor.