KẾT QUẢ ĐIỀU TRỊ HẠ HUYẾT ÁP TÍCH CỰC Ở NGƯỜI BỆNH CHẢY MÁU NÃO CẤP VÙNG NHÂN XÁM TRUNG ƯƠNG DO TĂNG HUYẾT ÁP

Abstract

Objectives: To assess the outcome of intensive blood pressure lowering in patient with acute deep grey matter hemorrhage. Subjects and methods: This prospective, cross-ectional descriptive study enrolled 152 patients with acute acute deep grey matter hemorrhage due to hypertension diagnosed and treated at the Neurology Center of Bach Mai Hospital from August 1^st, 2021 to July 31^st, 2022. Results: The average age of the study group was 60.41 ± 10.04. The age group > 60 years old accounted for the most (52%). The male:female ratio was 2.1:1. 82.9% of patients who received intensive blood pressure control reached the blood pressure target after 2 hours. Comparing computed tomography imaging between two scans, the proportion of increase in hematoma volume was only 9.2%. The percentage of patients with good outcome (mRs 0-3 points) after 7 days was 41.4%, after 28 days was 53.5%, after 90 days was 74.3%. Conclusion: The mean age of the study group was 60.41 ± 10.04 The male:female ratio was 2.1:1. Intensive blood pressure lowering contributes to early control of blood pressure according to the goal, restricting increase in hematoma volume and improving functional outcome at day 90.