摘要
目的通过监测脑卒中患者24h动态血压情况,探讨二者之间的关系及临床意义。方法对198例脑卒中患者(脑梗死79例,脑出血54例,短暂性脑缺血发作65例)进行24h动态血压监测分析,并随机选择161例无脑卒中发生的单纯高血压病患者作对照组,对比2组夜间血压下降率、24h平均血压和脉压差。结果 (1)脑卒中组的夜间血压下降率<10%,对照组夜间血压下降率>10%,差异有统计学意义(P<0.05)。(2)脑卒中组的平均收缩压和舒张压比对照组高,其中脑出血组的收缩压升高比脑梗死及短暂性脑缺血更明显,不同类型脑卒中的脉压差均比对照组大,其中脑出血组最大,差异有统计学意义(P<0.05)。结论 24h血压变化与脑卒中的发生密切相关,建议临床常规应用动态血压对高血压患者进行定期或不定期监测,以有效控制血压、降低脑卒中的发生。
Objective To explore the relationship and clinical significance between ambulatory blood pressure monitoring and cerebral apoplexy. Methods 198 cases of cerebral apoplexy patients （79 cases of cerebral infarction, 54 cases of cerebral hemorrhage, 65 cases of TIA） included for 24 hours ambulatory blood pressure monitoring. 161 cases of simple hypertensive patients without cerebral apoplexy happened randomly selected as the control group, compared two groups of the nighttime blood pressure decrease rate, 24-hour average blood pressure and pulse pressure. Results （1） The nighttime blood pressure de- crease rate of cerebral apoplexy group were less than 10%, and the control group in nighttime blood pressure drop rate were greater than 10%, the difference was statistically significant （P〈 0.05）. （2） The average systolic and diastolic blood pressure of cerebral apoplexy group was higher than control group, the systolic blood pressure of cerebral hemorrhage group was higher than cerebral infarction and TIA obviously, the pulse pressure of different kinds of cerebral apoplexy were larger than the con- trol group, and the cerebral hemorrhage group was the largest, statistically significant difference （P〈 0.05）. Conclusion 24 hours ambulatory blood pressure monitoring is closely related to the cerebral apoplexy, so ambulatory blood pressure should be applied to hypertension patients in a regular or irregular basis to control blood pressure more effectively and reduce the occur- rence of cerebral apoplexy.
出处
《中国实用神经疾病杂志》
2014年第5期42-43,共2页
Chinese Journal of Practical Nervous Diseases
关键词
动态血压
高血压
脑卒中
Ambulatory blood pressure
HypertensiomCerebrovascular accident
