摘要
目的研究并探讨24h动态血压监测(ABPM)对脑卒中急性期病人的临床应用价值。方法对来院接受治疗的264例脑卒中急性期病人进行24h动态血压监测,并分析监测结果。结果杓型(夜间血压下降率>10%)、非杓型(夜间血压下降率≤10%)和反杓型血压(夜间血压下降率<0%)病人依次为80例、90例和94例;3种血压类型病人的性别、年龄等基本资料以及卒中类型、有无高血压病史等比较均无差异,不具有统计学意义(P>0.05);3种血压类型的病人的晨起收缩压、夜间脉压、夜间收缩压以及24h平均动脉压等进行比较,差异具有统计学意义(P<0.05)。结论通过24h动态血压监测可了解脑卒中急性期病人的血压特点及昼夜变化规律,为患者的后续治疗提供科学的依据。
Objective To investigate the clinical value of 24 h ambulatory blood pressure monitoring （ABPM） in the patients with acute stroke. Methods Twenty-four-hour ABPM was performed on 264 stroke cases in acute stage who received treatment in our hospital. The monitoring results were analyzed. Results Of the patients, 80 had a dipper blood pressure pattern （nocturnal blood pressure decline 〉10% ）, 90 had a non-dipper blood pressure pattern （nocturnal blood pressure decline ≤ 10% ）, and 94 had a reverse-dipper blood pressure pattern （nocturnal blood pressure decline 〈0% ）. There were no significant differences in gender, age, type of stroke, and history of hypertension among the patients with the three blood pressure patterns （P〉0.05）. There were significant differences in morning systolic blood pressure, nocturnal pulse pressure, nocturnal systolic blood pressure, and 24 h mean arterial pressure among the patients with the three blood pressure patterns （P〈0.05）. Conclusion Twenty- four-hour ABPM can be used to investigate the patterns of blood pressure and its diurnal variation in patients with acute stroke, thus providing a scientific basis for the subsequent treatment.
出处
《心血管病防治知识（学术版）》
2013年第1期28-29,共2页
Prevention and Treatment of Cardiovascular Disease
关键词
脑卒中
急性期
动态血压监测
Stroke
Acute stage
Ambulatory blood pressure monitoring
