李 慧 冯贵龙 杨晓明

    1.山西医科大学第一临床医学院，山西太原030001；2.山西医科大学第一医院，山西太原030001

    镇静镇痛对高血压脑出血术后血压、二次出血率影响的研究进展

    李慧1冯贵龙2▲杨晓明2

    1.山西医科大学第一临床医学院，山西太原030001；2.山西医科大学第一医院，山西太原030001

    高血压脑出血(HICH)外科手术治疗效果得到肯定，但术后血压控制不良，诱发再出血是其严重的并发症，且躁动、谵妄均影响患者的预后。单纯应用降压药物控制血压有时并不能得到满意的治疗效果，随着国内外研究的不断深入，镇静、镇痛在高血压脑出血术后治疗中的规范化应用得到人们的重视。本文就高血压脑出血术后血压控制的重要性、二次出血的原因以及镇静镇痛的治疗现状作一综述。

    高血压脑出血；二次出血；镇静；镇痛

    [Abstract]Surgical treatment has definite effects on hypertensive cerebral hemorrhage(HICH)，however，severe complications include secondary hemorrhage induced by poor control of postoperative blood pressure，and agitation and delirium will affect the prognosis of patients.Simple use of antihypertensive drugs may fail to achieve satisfactory effects. With the increasing research both domestic and abroad，the standardized application of sedation and analgesia after operation has drawn more and more attention.This article reviews the importance of blood pressure control after HICH operation，causes of secondary hemorrhage，and current status of sedation and analgesia treatment.

    [Key words]Hypertensive cerebral hemorrhage；Secondary hemorrhage；Sedation；Analgesia ......