论文部分内容阅读
目的探讨脑梗死急性期血压达标对短期预后的影响。方法依据纳入标准选取2014年1—12月于华北理工大学附属医院住院的急性脑梗死患者247例,测量入院14d 52次血压。将血压达标值设为140/90mmHg。按血压值小于达标值次数占血压测量总次数的百分比分为<25%组(54例)、≥25%且<50%组(51例)、≥50%且<75%组(64例)、≥75%组(78例)。记录美国卫生研究院卒中量表(NIHSS),采用生活自理程度Modified Rankin量表(mRS)为预后评判标准,采用COX回归分析观察血压达标情况对30d预后的影响。结果四组入院时与30d的NIHSS评分改变差异无统计学意义(P>0.05)。单因素及多因素回归分析显示:血压达标情况与30d预后无明显关系(P>0.05)。结论脑梗死急性期血压达标,对急性脑梗死患者短期预后无明显影响。
Objective To investigate the effect of blood pressure in acute stage of cerebral infarction on short-term prognosis. Methods According to the inclusion criteria, 247 acute cerebral infarction patients hospitalized at North China Polytechnic University Hospital from January to December 2014 were selected, and blood pressure was measured 14 days and 14 days after admission. The blood pressure is set to 140 / 90mmHg. According to the percentage of blood pressure less than the total number of standard blood pressure measurement times were divided into <25% (54 cases), ≥25% and <50% (51 cases), ≥50% and <75% (64 cases) , ≥75% group (78 cases). The National Institutes of Health Stroke Scale (NIHSS) was recorded. The Modified Rankin Scale (mRS) was used as the prognostic criteria. COX regression analysis was used to observe the impact of blood pressure compliance on the 30-day prognosis. Results There was no significant difference in NIHSS score between the four groups on admission and on the 30th day (P> 0.05). Univariate and multivariate regression analysis showed that there was no significant relationship between the blood pressure standard and the 30-day prognosis (P> 0.05). Conclusion The blood pressure in the acute stage of cerebral infarction has reached the standard, and has no obvious effect on the short-term prognosis of patients with acute cerebral infarction.