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目的 :观察急性期脑梗死患者血压水平变化,并分析其与患者预后的相关性。方法 :选取2015年4月~2016年3月我院收治的120例急性期脑梗死患者为研究对象,监测患者入院时、入院24h时、入院后3天及入院后7天的血压水平,并对患者进行三个月随访,分析血压水平与患者预后的关系。结果 :急性期脑梗死患者在入院24h内的收缩压介于140mm Hg-159mm Hg之间及舒张压介于90mm Hg-99mm Hg之间的预后较好,三个月随访不良事件发生率较低;血压正常组的急性期脑梗死患者在随访三个月的NIHSS评分(3.1±0.6)及BI评分(73.7±2.3)明显优于低血压组及高血压组;患者年龄、入院时血压及入院时NIHSS评分是影响急性期脑梗死患者预后的独立危险因素。结论 :急性期脑梗死血压水平过高或过低均会对患者预后造成影响,而年龄越大,入院时血压越高,入院时病情较重的急性期脑梗死患者三个月发生死亡的风险也越大。
Objective: To observe the changes of blood pressure in patients with acute cerebral infarction and to analyze their correlation with prognosis. Methods: A total of 120 patients with acute cerebral infarction admitted to our hospital from April 2015 to March 2016 were enrolled in this study. Blood pressure was monitored at admission, at admission, at admission, 3 days and 7 days after admission Patients were followed up for three months to analyze the relationship between blood pressure levels and patient outcomes. Results: The prognosis of patients with acute cerebral infarction at systolic blood pressure between 140mm Hg-159mm Hg and diastolic blood pressure between 90mm Hg-99mm Hg within 24 hours after admission was better, and the incidence of follow-up adverse events at 3 months was lower . The NIHSS score (3.1 ± 0.6) and BI score (73.7 ± 2.3) in patients with normotensive group were significantly better than those in patients with hypotension and hypertension at three months follow-up. The patients’ age, blood pressure at hospital admission and admission When the NIHSS score is an independent risk factor affecting the prognosis of patients with acute cerebral infarction. CONCLUSIONS: Acute cerebral infarction with high or low blood pressure may have an impact on the prognosis of patients. However, the older the patients are, the higher the blood pressure at admission and the risk of death in patients with acute cerebral infarction on admission is three months The bigger