摘要
目的研究急性期降血压治疗对脑梗塞患者脑血流量（ＣＢＦ）和脑功能的影响。方法１４４例高血压脑梗塞患者随机分为降血压组和非降血压组，疗程１４天，治疗前后１３３Ｘｅ吸入法测定ＣＢＦ和进行脑电图（ＥＥＧ）脑干听觉诱发电位（ＢＡＥＰ）检查。结果两组治疗前ＣＢＦ、ＥＥＧ和ＢＡＥＰ异常率均相似，治疗后虽均有所改善，但降血压组ＣＢＦ、ＥＥＧ和ＢＡＥＰ改善率明显低于非降血压组（Ｐ＜０．０５～０．０１）。结论脑梗塞患者急性期血压升高有利于维持脑血流量和脑功能。
Objective \ To study the acute effect of lowering
BP on cerebral blood flow (CBF) and brain function of in the patients with acute cerebral
infarction.\ Methods \ 144 patients with acute cerebral infarction and hypertension were
randomly divided into two groups, 72 cases were treated with antihypertensive medications, the
other as controls. All patients were examined by CBF (133Xe inhalation method),EEG, and brain
stem auditory evoked potentials(BAEP) before and after treatment.\ Results \ In two groups, the
abnormal rate of CBFEEG and BAEP were of no significant difference before treatment; after
treatment all index were improved in the control group, but in antihypertensive group these
index were worse(P<0.05001).\ Conclusion \ High blood pressure in acute stage is favor of
maintaining CBF and brain function in the patients with cerebral infarction.
出处
《高血压杂志》
CSCD
1999年第2期103-105,共3页
Chinese Journal of Hypertension
关键词
高血压
脑梗塞
治疗
脑血流量
脑功能
hypertension
\ cerebral infarction
\ antihypertension
\ cerebral blood flow
\ brain function
