论文部分内容阅读
目的探讨缺血性脑卒中患者急性期血压与预后情况关系,并分析相关因素。方法选择我院2010年6月~2015年1月收治的缺血性脑卒中患者80例作为研究对象,患者入院后3天(急性期)连续进行血压监测,并根据其血压水平划分为<140 mm Hg组、40~160 mm Hg组、161~179 mm Hg组,>180 mm Hg组,对四组患者进行6个月随访,统计其预后情况。结果 40~160 mm Hg组构成比最高。不同血压水平预后情况统计,在复发率方面,3个月和6个月时间段,<140 mm Hg组最高,>180 mm Hg组次之,两组均高于40~160 mm Hg组和161~179 mm Hg组,差异有统计学意义(P<0.05),残疾率方面分布特征相同。<140 mm Hg组和>180 mm Hg组,3个月与6个月时间段比较,复发率及残疾率增长显著,差异有统计学意义(P<0.05);3个月,4组均无死亡;6个月,<140 mm Hg和>180 mm Hg死亡率高于其他组,但差异无统计学意义(P>0.05)。结论缺血性脑卒中患者急性期血压水平与残疾率、复发率、死亡率等存在密切的关系,应注意控制急性期血压水平。
Objective To investigate the relationship between blood pressure and prognosis in patients with acute ischemic stroke and to analyze the related factors. Methods Eighty patients with ischemic stroke who were admitted to our hospital from June 2010 to January 2015 were selected as subjects. Blood pressure was monitored continuously for 3 days after admission (acute phase) and divided into <140 according to their blood pressure level mm Hg group, 40 ~ 160 mm Hg group, 161 ~ 179 mm Hg group, and> 180 mm Hg group. The patients in the four groups were followed up for 6 months and their prognosis was calculated. Results The composition ratio of 40 ~ 160 mm Hg group was the highest. The prognosis of different blood pressure statistics, in the recurrence rate, 3 months and 6 months, <140 mm Hg group highest,> 180 mm Hg group followed, both groups were higher than the 40 ~ 160 mm Hg group and 161 ~ 179 mm Hg group, the difference was statistically significant (P <0.05), disability rate distribution characteristics are the same. In the group of <140 mm Hg and> 180 mm Hg, the relapse rate and disability rate increased significantly at 3 months and 6 months (P <0.05). No significant difference was found between the 3 months and 4 groups The death rates of <140 mm Hg and> 180 mm Hg were higher than those of other groups at 6 months, but the difference was not statistically significant (P> 0.05). Conclusion There is a close relationship between the blood pressure level and the rate of disability, recurrence and mortality in patients with acute ischemic stroke, and attention should be paid to the control of blood pressure in acute phase.