目的探讨研究高血压与再次发生脑卒中的关系,寻找脑卒中病人再发的危险因素。方法对武汉市华中科技大学附属同济医院等医疗单位随机收集2000-12~2002-06共200例脑梗死病人,100例脑出血病人,并按年龄、性别相匹配收集300例未患脑卒中的健康人或医院内与脑血管病无关的病人作对照,进行血压检测,并随访1年。观察脑卒中再发与高血压情况的关系。结果脑卒中病人组1年随访再发脑卒中30例(10·34%)。对照组有1例脑梗死发生(0·34%),两组差异有显著性(P<0·05)。两组高血压病人数及高血压控制不理想人数差异有显著性(P<0·05)。再发脑梗死者有90%、再发脑出血者有100%病人血压控制不理想。结论对脑卒中病人的1年随访发现,脑卒中的再发与高血压病及高血压控制不理想有明显关系。 Objective To study the relationship between hypertension and recurrent stroke and to find out the risk factors for recurrent stroke patients. Methods A total of 200 cases of cerebral infarction and 100 cases of cerebral hemorrhage were collected from Tongji Hospital affiliated to Huazhong University of Science and Technology in Wuhan from December 2000 to June 2002. 300 patients with cerebral hemorrhage were collected by age and sex Blood pressure was measured in healthy people or in patients with no involvement of cerebrovascular disease in the hospital for one year. To observe the relationship between recurrent stroke and hypertension. Results Stroke patients were followed up for 30 years (10 · 34%) with stroke. One case of cerebral infarction occurred in the control group (0.34%), with significant difference between the two groups (P <0.05). There were significant differences in the number of patients with hypertension and those with unsatisfactory hypertension control (P <0.05). Recurrent cerebral infarction were 90%, recurrent cerebral hemorrhage, 100% of patients with poor blood pressure control. Conclusions A one-year follow-up of patients with stroke found that recurrent stroke was significantly associated with poor control of hypertension and hypertension.