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目的就脑卒中急性期血压变化相关问题进行探讨。方法对３３４例在未用降压药的情况下，将血压是否下降分为两组，观察两组病人性别、病灶性质及部位、高血压史、入院后意识状态的差别。结果女性病人，无高血压史、脑叶出血及意识有障碍者，血压自动下降比率较高，与对照组比较有显著性差异。结论对于脑卒中急性期高血压的治疗应慎重，尤其是对上述几种病人，在无严重并发症或其他紧急情况下，可先密切观察１～２天，如血压仍高于２４／１６ｋＰａ，再予应用降压药。
Objective To investigate the related problems of blood pressure changes in the acute stage of stroke. Methods 334 patients without the use of antihypertensive drugs, the decline in blood pressure is divided into two groups were observed in the two groups of patients sex, the nature and location of the lesion, history of hypertension, post-admission awareness of differences in status. Results Female patients, no history of hypertension, cerebral lobar hemorrhage and impaired consciousness, high rate of automatic blood pressure decline, compared with the control group were significantly different. Conclusions The treatment of acute stroke in acute phase should be cautious, especially in the above several patients, in the absence of serious complications or other emergency situations, the first close observation of 1 to 2 days, such as blood pressure is still higher than 24 / 16kPa, Then apply antihypertensive drugs.