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目的 研究急性脑血管病人血压波动情况对预后的影响。方法 选择 136例急性中风病人进行动态监测血压变化 ,其中脑出血 6 2例 ,脑梗死 6 3例 ,蛛网膜下腔出血 11例。结果 发现血压波动 >2 0 %的急性脑血管病人 ,预后较差 ,病死率 32 % ;急性期血压波动 <2 0 %的病人预后较好 ,病死率 2 4%。结论 动态血压对急性脑血管病早期降压治疗有指导性意义。
Objective To study the influence of blood pressure fluctuation on prognosis in patients with acute cerebrovascular disease. Methods A total of 136 patients with acute stroke were enrolled in the study. Their blood pressure was monitored dynamically, including 62 cases of cerebral hemorrhage, 63 cases of cerebral infarction and 11 cases of subarachnoid hemorrhage. The results showed that blood pressure fluctuations> 20% of patients with acute cerebrovascular disease, the prognosis is poor, the mortality rate was 32%; acute blood pressure fluctuations <20% of patients with better prognosis, mortality 24%. Conclusion Ambulatory blood pressure has an instructive significance for the early antihypertensive treatment of acute cerebrovascular disease.