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动态血压监测在脑卒中急性期管理中的应用研究

Application of Ambulatory Blood Pressure Monitoring in the Management of the Acute Phase of Stroke
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摘要 目的:观察在脑卒中急性期管理中,动态血压监测的效果,旨在为指导后续疾病管理工作提供参考及指导。方法:选取2022年1月~2024年10月本院收治的脑卒中急性期患者100例,均接受动态血压监测。对勺型、反勺型、非勺型不同类型的血压特点进行分析,并对患者神经功能缺损改善率以及日常生活能力改善率展开比较。结果:通过对不同血压类型患者的血压指标状况进行分析,结果显示勺型、反勺型、非勺型在夜间舒张压变异性、晨起收缩压、夜间脉压、夜间收缩压及舒张压等指标存在显著差异,数据结果显示存在统计学对比价值(P<0.05);勺型血压组患者神经功能缺损改善率以及日常生活能力改善率高于反勺型血压组、非勺型血压组,组间数据对比有意义(P<0.05)。结论:动态血压监测的实施价值高,可以对不同血压类型特点进行分析,对患者进行针对性指导,进而帮助患者提升日常生活能力,改善神经功能缺损状况,利于疾病转归。 Objective:To discuss the effect of ambulatory blood pressure monitoring in the acute phase management of stroke,aiming to provide reference and guidance for the subsequent disease management work.Methods:In this study,100 patients with acute stroke admitted from January 2022 to October 2024 were selected.We performed ambulatory blood pressure monitoring,analyzed the characteristics of spoon,spoon and non-spoon,and compared the improvement rate of neurological function deficit and the improvement rate of daily living ability of patients.Results:By analyzing the blood pressure index conditions of patients with different blood pressure types,the results showed that there were significant differences in nocturnal diastolic blood pressure variability,morning systolic blood pressure,nocturnal pulse pressure,nocturnal systolic blood pressure and diastolic blood pressure among dipper type,reverse dipper type and non-dipper type.The data results indicated that there was statistical comparison value(P<0.05).The improvement rate of neurological deficit in the spoon blood pressure group was higher than that in the non-spoon blood pressure group,and the data were significant(P<0.05).Conclusion:The implementation value of ambulatory blood pressure monitoring is high,which can analyze the characteristics of different blood pressure types and provide targeted guidance to patients,so as to help patients improve their daily living ability,improve the neurological deficit,and facilitate the outcome of the disease.
作者 任化静 REN Hua-jing(Tianjin Dongli Hospital,Tianjin 300300)
机构地区 天津市东丽医院
出处 《中国医疗器械信息》 2026年第1期136-139,共4页 China Medical Device Information
关键词 脑卒中 急性期管理 动态血压监测 不同血压类型 神经功能缺损 日常生活能力 stroke acute phase management ambulatory blood pressure monitoring different blood pressure types neurological deficit daily living ability
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