简介:摘要 目的 调查了解近三年来本院老年性高血压的发病特点,为今后更加规范、合理的治疗提供依据。方法 自制调查表,对2017年8月至2020年8月在本院住院的老年性高血压病患者的病史、体检及各项医技检查结果进行登记、汇总、分析。结果 老年病科和综合内科老年性高血压病患者86例,男48例,女38例,年龄最小60岁,最大91岁,平均年龄(69.3±3.6)岁,按最新高血压指南分为1级高血压37例,2级高血压49例,多数患者均有靶器官损害,同时有高脂血症、糖尿病等。结论 老年性高血压的治疗包括非药物治疗和药物治疗,降压药使用应个体化、小剂量、单药开始,降压的目标原则上应将血压降到患者的最大耐受水平,同时兼顾其他基础疾病和并发症。
简介: 【摘要】 目的 研究在高血压性脑出血患者中进行内科保守治疗的方法以及效果。方法 回顾性分析 40例高血压性脑出血患者的临床资料, 所有患者均进行内科保守治疗, 分析其临床效果。结果 40例患者中, 13例治愈, 9例显著进步, 12例进步, 5例无变化, 1例恶化, 治疗总有效率为 85.0%。结论 在高血压性脑出血患者中, 使用内科保守方法进行治疗具有较好的效果, 能够对无法进行外科手术患者的疾病康复起到促进的作用。 【关键词】 内科保守治疗;高血压性脑出血;应用方法;效果 [Abstract] Objective To study the method and effect of conservative medical treatment in patients with hypertensive cerebral hemorrhage. Methods the clinical data of 40 patients with hypertensive intracerebral hemorrhage were analyzed retrospectively. All patients were treated conservatively in internal medicine. Results in 40 cases, 13 cases were cured, 9 cases improved significantly, 12 cases improved, 5 cases remained unchanged, 1 case deteriorated, the total effective rate was 85.0%. Conclusion in patients with hypertensive intracerebral hemorrhage, the use of internal medicine conservative treatment has a better effect, can not carry out surgery in patients with disease recovery play a role in promoting.
简介: 【摘 要】目的:对短暂性脑缺血患者使用双联抗血小板药物治疗的临床效果进行研究分析。方法:根据 2019年 1月至 9月我院的短暂性脑缺血患者 92例开展分析,分组为对照组和研究组,均有 46例患者,对照组使用阿司匹林治疗,研究组使用阿司匹林和氯吡格雷双联抗血小板药物治疗,对两组的治疗情况进行对比分析。结果:研究组有 15例有效, 30例显效,治疗有效率是 97.8%,对照组有 23例显效, 15例有效,有效率是 82.6%。两组结果存在统计学差异性( P<0.05)。结论:短暂性脑缺血患者临床中可以选择双联抗血小板药物进行治疗,临床治疗有效率比较高,患者不良反应率比较低,值得推广使用。 【关键词】阿司匹林 ;氯吡格雷 ;短暂性脑缺血发作 ;药物治疗 ;临床效果 ;抗血小板 [Abstract] Objective: To study and analyze the clinical effect of dual antiplatelet drugs in patients with transient cerebral ischemia. Methods: according to the analysis of 92 patients with transient cerebral ischemia in our hospital from January to September 2019, they were divided into two groups: control group and study group. There were 46 patients in both groups. The control group was treated with aspirin, and the study group was treated with aspirin and clopidogrel combined antiplatelet drugs. The treatment of the two groups was compared and analyzed. Results: in the study group, 15 cases were effective, 30 cases were effective, the effective rate was 97.8%, in the control group, 23 cases were effective, 15 cases were effective, the effective rate was 82.6%. There was statistical difference between the two groups (P < 0.05). Conclusion: dual antiplatelet drugs can be used in the treatment of transient cerebral ischemia. The effective rate of clinical treatment is relatively high and the adverse reaction rate of patients is relatively low.