摘要
目的 了解脑卒中急性期血压变化规律及其影响因素，为临床治疗提供依据。方法 前瞻性连续性登记2002-03—2004-03入院的脑卒中患者。观察发病6h内至入院后15d血压变化规律情况。对影响入院时血压的因素采用多元线性回归分析。结果 311例患者入院时平均血压最高(151±29／90±18)mm Hg，12h内迅速下降至(138±24／81±15)mm Hg，到第8d基本稳定在(132±18／80±14)mm Hg。独立影响入院收缩压的因素有心脏病、高血压病史、意识水平、年龄和卒中类型。独立影响入院舒张压的因素有卒中类型、高血压病史、心脏病和糖尿病。结论 脑卒中患者发病时血压明显增高，急性期血压存在自发下降趋势。独立影响入院血压的因素有高血压病史、心脏病、高龄、意识水平和卒中类型，急性期降压的国内标准有待探讨。
Ohjective To investigate the changes in blood pressure （BP） in patients with acute stroke and the factors related to BP levels. Methods Data were collected prospectively from consecutive stroke inpatients in West China Hospital from March 2002 to March 2004. BP changes of patients within 6 hours from admission to 15 days were observed. Multivariate linear regression model was used to analyze independent factors related to BP at admission. Results Three hundred and eleven patients were included in this study. Admission BP （151±29/90±18）mm Hg was elevated after stroke hut decreased rapidly in 12 hours （138±24/81±15）mm Hg with little change thereafter. BP at day 8 reached a stable level （132± 18/80±14）mm Hg. Independent factors related to SBP were cardiac disease, known hypertension, impaired conscious level, stroke subtype and age; independent factors related to DBP were stroke type, known hypertension, cardiac disease and diabetes. Conclusion Patients with acute stroke have high BP on hospital admission which decline spontaneously soon Mterward and generally does not need urgent pharmacologic treatment. BP is related to several independent factors in acute stroke： known hypertension, cardiac disease, age, conscious and stroke type.
出处
《高血压杂志》
CSCD
北大核心
2005年第11期701-705,共5页
Chinese Journal of Hypertension
关键词
脑卒中
血压
高血压
Stroke
Blood pressure
Hypertension
