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目的研究脑梗死急性期降压及在不同时间进行降压治疗对患者近期预后的影响。方法据发病后是否降压及进行降压的时间,将198例急性脑梗死患者分为6组,观察各组患者神经功能缺损程度及心脑血管事件的再发生率和病死率。结果在发病后进行降压治疗的患者中其心脑血管事件再发率和病死率明显低于未降压组(P<0.01);3d后降压组患者神经功能恢复的程度明显好于未降压组(P<0.01)。结论降压治疗可以降低患者心脑血管事件的发生率和病死率;3d后进行降压治疗的患者神经功能恢复明显要好。
Objective To study the effect of antihypertensive in acute stage of cerebral infarction and antihypertensive treatment at different times on the short-term prognosis of patients. Methods According to whether the blood pressure after the onset of antihypertensive and decompression time, 198 patients with acute cerebral infarction were divided into 6 groups, observed in each group of patients with neurological deficit and cardiovascular and cerebrovascular events recurrence and mortality. Results The recurrence rate and mortality of cardiovascular events in patients undergoing antihypertensive treatment after onset were significantly lower than those in non-depressurized group (P <0.01). After 3d, the degree of recovery of neurological function in hypertensive patients was significantly better than that of non-depressurized group Blood pressure group (P <0.01). Conclusion Antihypertensive treatment can reduce the incidence of cardiovascular events and mortality in patients with antihypertensive therapy 3d after neurological recovery was significantly better.