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卒中预防中,血压水平的控制问题仍未解决。因此,作者进行该项预防无症状和症状性脑梗死适当血压的研究并检验白天血压或夜间血压J曲线现象的存在。 对象为285例有症状腔隙性梗死患者,最后105例进入研究。作者应用便携式自动记录仪监测24小时血压。24小时内30分钟间距记录血压。24小时内平均收缩压和舒张压、白天(6AM～10PM)和夜间(10:30PM～5:30AM)平均血压值列入计算,夜间血压波幅计算为[(平均白天血压-平均夜间血压)÷24小时内平均血压]×100。临床有腔隙综合征同时MRI扫描有腔隙性脑梗死者腔隙性卒中的诊断即成立。105例均进行随访。按预后分五组如下:1组为既无症状性
In stroke prevention, the question of blood pressure control remains unresolved. Therefore, the authors conducted a study to determine the appropriate blood pressure for asymptomatic and symptomatic cerebral infarction and examined the presence of blood pressure or nocturnal blood pressure J curves during the day. The subjects were 285 patients with symptomatic lacunar infarcts and the last 105 were included in the study. The authors used a portable autograph to monitor 24-hour blood pressure. Record blood pressure within 30 minutes of 24 hours. Mean systolic blood pressure and diastolic blood pressure within 24 hours, daytime (6 AM ~ 10PM) and nighttime (10:30 PM ~ 5:30AM) included in the calculation of the average blood pressure at night was calculated as [(mean daytime blood pressure - average nighttime blood pressure) ÷ Average blood pressure within 24 hours] × 100. Clinical diagnosis of lacunar syndrome with lacunar infarction in patients with lacunar infarction is established. All 105 cases were followed up. According to the prognosis of the five groups are as follows: a group of both asymptomatic