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目的观察急性脑血管病动态血压负荷值的变化及意义。方法用自动血压监测仪对42例急性脑血管病(脑梗塞29例,脑出血13例)进行24h动态血压监测,记录血压负荷值的变化。结果夜间血压负荷值较白昼的高,脑出血组24h血压负荷值高于脑梗塞组(p<0.02),尤其夜间舒张(DBP)明显(p<0.01)。结论在急性脑血管病患者的治疗中,注意对夜间血压的控制,尤其对DBP的控制。
Objective To observe the changes and significance of the dynamic blood pressure load in patients with acute cerebrovascular disease. Methods 42 cases of acute cerebrovascular disease (cerebral infarction in 29 cases, cerebral hemorrhage in 13 cases) were monitored by ambulatory blood pressure monitor for 24 hours, and the change of blood pressure load was recorded. Results The nighttime blood pressure load value was higher than that of daytime. The blood pressure load of cerebral hemorrhage group was higher than that of cerebral infarction group (p <0.02), especially nighttime diastolic pressure (DBP) (p <0.01). Conclusions In the treatment of patients with acute cerebrovascular disease, pay attention to the control of nocturnal blood pressure, especially for the control of DBP.