【摘 要】
：
目的:观察老年部分前循环脑梗死(PACI)患者急性期血压变化与远期预后关系.方法:选取我科于2011年1～12月入我科治疗的80例年龄在63～80岁的部分前循环脑梗死患者,入院后给予监测14天内血压,并于入院时、发病14天及3个月时给予美国国立卫生研究院卒中量表评分(NIHSS)及改良Bathel指数(mBI),统计分析血压变化与预后的关系.结果:80例患者完成3个月随访68例,失访12例.发病时
【机 构】
：
上海市浦东新区周浦医院神经内科;上海交通大学附属第六人民医院神经内科 上海市浦东新区周浦医院神经内
【出 处】
：
中华医学会第十六次全国神经病学学术会议
论文部分内容阅读
目的:观察老年部分前循环脑梗死(PACI)患者急性期血压变化与远期预后关系.方法:选取我科于2011年1～12月入我科治疗的80例年龄在63～80岁的部分前循环脑梗死患者,入院后给予监测14天内血压,并于入院时、发病14天及3个月时给予美国国立卫生研究院卒中量表评分(NIHSS)及改良Bathel指数(mBI),统计分析血压变化与预后的关系.结果:80例患者完成3个月随访68例,失访12例.发病时有58例(85.3％)患者出现血压升高,一周内有血压有自动下降趋势.7天内收缩压下降幅度10～20％组3个月时NIHSS评分及mBI优于收缩压下降幅度为5～10％和≥20％组,而舒张压下降幅度10～20％组3个月时NIHSS评分及mBI较收缩压下降幅度为5～10％和≥20％组无明显差异.结论:对于老年PACI患者急性期血压变化幅度与远期预后有关,其中收缩压的变异性更为重要.
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