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

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 1st, 2021 to July 31st, 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.