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目的探讨急性脑卒中患者入院血压水平与住院期间发生死亡、残疾的关系。方法对2003年1月-2005年12月间内蒙古通辽市6家医院的3938例脑卒中患者,进行血压测量及其他基线资料的收集,采用χ2检验进行统计分析。结果缺血性脑卒中的残疾发生率(41.3%)高于出血性脑卒中(34.3%)(P<0.05);出血性脑卒中的病死率(5.9%)高于缺血性脑卒中(1.8%)(P<0.05);缺血性脑卒中在不同收缩压和舒张压水平下,其残疾率和病死率差异无统计学意义(P>0.05);而出血性脑卒中的残疾率随着收缩压和舒张压的升高而增高,病死率在不同血压水平下差异有统计学意义(P<0.01);在收缩压≥180mmHg和舒张压≥110mmHg时病死率最高。结论急性出血性脑卒中患者入院血压与住院期间残疾及病死相关。
Objective To investigate the relationship between admission blood pressure and death and disability during hospitalization in patients with acute stroke. Methods From January 2003 to December 2005, 3938 stroke patients in 6 hospitals in Tongliao, Inner Mongolia were enrolled. Blood pressure measurements and other baseline data were collected and analyzed by χ2 test. Results The incidence of disability (41.3%) in ischemic stroke was higher than that in hemorrhagic stroke (34.3%) (P <0.05). The mortality rate of hemorrhagic stroke was 5.9% higher than that of ischemic stroke %) (P <0.05). There was no significant difference in the disability rate and case fatality rate between ischemic stroke and systolic blood pressure and diastolic blood pressure (P> 0.05), while the disability rate of hemorrhagic stroke was Systolic blood pressure and diastolic blood pressure increased, the mortality rate at different blood pressure levels were significantly different (P <0.01); systolic blood pressure ≥ 180mmHg and diastolic blood pressure ≥ 110mmHg highest mortality. Conclusions The admission blood pressure in patients with acute hemorrhagic stroke is associated with disability and death during hospitalization.