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迈向循证急诊医学:曼彻斯特皇家医院的最佳临床实践建议。最佳临床实践建议1:自发性脑出血超急性期和急性期的目标血压管理

Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 1: Targeted blood pressure management in the hyperacute and acute stages following spontaneous intracerebral haemorrhage.

作者信息

Rajwani Kapil Mohan, Nor Azlisham Mohd

机构信息

Derriford Hospital, Plymouth, UK.

出版信息

Emerg Med J. 2016 Feb;33(2):159-62. doi: 10.1136/emermed-2016-205681.1.

Abstract

A short cut review was carried out to establish whether targeted blood pressure management in the hyperacute and acute stages following spontaneous intracerebral haemorrhage. 275 papers were found of which 6 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is the current evidence suggests in patients with hypertension following spontaneous intracerebral haemorrhage, intensive lowering of SBP to a target of less than 140mmHg in the hyperacute and acute stages is safe and may improve functional recovery.

摘要

进行了一项简短的综述,以确定在自发性脑出血后的超急性期和急性期进行有针对性的血压管理是否可行。共检索到275篇论文,其中6篇提供了回答该临床问题的最佳证据。现将这些最佳论文的作者、发表日期和国家、研究的患者群体、研究类型、相关结局、结果及研究不足制成表格。临床要点是,目前的证据表明,对于自发性脑出血后的高血压患者,在超急性期和急性期将收缩压强化降低至低于140mmHg的目标是安全的,且可能改善功能恢复。

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