论文部分内容阅读
目的:观察分析缺血性脑卒中急性期血压水平变化对预后的影响。方法:随机选取我院缺血性脑卒中急性期患者192例,其中勺型组、非勺型组、超勺型组和反勺型组各48例。对比分析4组患者的NIHSS评分和Barthel指数,并统计各组患者的疗效情况。结果:治疗3个月后,勺型组患者的NIHSS评分明显低于其他三组患者,且勺型组患者的Barthel指数明显高于其他三组(P<0.05)。勺型组患者的治疗总有效率为93.75%,明显高于非勺型组(79.17%)和超勺型组(60.42%)(P<0.05)。结论:缺血性脑卒中急性期患者血压昼夜节律变化异常,其异常情况严重影响临床治疗效果,不利于患者治疗后神经功能恢复和预后。
Objective: To observe and analyze the influence of the change of blood pressure in the acute stage of ischemic stroke on the prognosis. Methods: A total of 192 patients with acute ischemic stroke in our hospital were selected randomly, 48 of them were scoped, non-scoped, super-scoped and inverted scoped. The NIHSS score and Barthel index of four groups were compared and statistically analyzed. Results: At 3 months after treatment, the NIHSS score of scoop group was significantly lower than that of the other three groups, and the Barthel index of scoop group was significantly higher than that of the other three groups (P <0.05). The total effective rate of the treatment group was 93.75%, which was significantly higher than that of the non-spoon type (79.17%) and the super-spoon type (60.42%) (P <0.05). Conclusion: The changes of circadian rhythm of blood pressure in patients with acute ischemic stroke are abnormal. The abnormal situation seriously affects the effect of clinical treatment, which is not conducive to the recovery of neurological function and prognosis of patients after treatment.