Study on the antihypertensive problem in ischemic stroke patients with hypertension at the ICU-provincial general hospital of Quang Tri
- Author:
Le Thi Thu Trang
- Publication Type:Journal Article
- Keywords:
Hypertension
- MeSH:
Stroke;
Hypertension;
Antihypertensive Agents
- From:Journal of Practical Medicine
2005;517(8):12-15
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
We studied 47 ischemic stroke patients with hypertension at the ICU-Quang tri general hospital in the year 2004. These patients were divided into 2 groups: group A consisting of 23 patients whose blood pressure was lowered considerably within 6 early hours and 24 early hours after admission; while the blood pressure of 24 patients of group B was lowered step by step, in a ladder fashion according to the recommendation of WHO. Objective: Clinical comparison (improvement of coma and movement, evidence of cerebral edema) between the 2 groups within 72 hours after hospitalization. Study design: prospective, clinical comparison between 2 disease groups. Results:-Upon admission, the difference of mean Glasgow scores of group A(8.71.1) and group B (8.31.9) is not of statistical significance (p>0.05). At the 24th hour, the mean Glasgow scores of group A and B are 7.5 2.4 and 9.52.6, respectively. By 48 hours, these scores of group A and B are 7.82.4 and 10.62.7, respectively. The mean Glasgow scores of group A and B at the 72nd hour are 7.51.5 and 11.32.5, respectively. It is demonstrated that the mean Glasgow scores at hours 24, 48 and 72 of group B are statistic significant higher than these scores of group A (p<0.01). The clinical improvement of motor paralysis and cerebral edema within 24, 48 and 72 hours after hospital admission is better in group B than in group A, with statistic significance (p<0.01).