脑梗死急性期血压的变化规律及其与预后的关系The Relationship Between Blood Pressure Changes and Prognosis in Patients with Acute Cerebral Infarction
杜秀民,刘前,于春蕾
摘要(Abstract)：
目的探讨脑梗死急性期患者血压变化规律及其与急性脑梗死预后的关系。方法选择脑卒中急性期患者148例,其中脑梗死102例,脑出血46例;观察急性期两组患者的血压变化,并评估第30日患者神经功能缺损程度。结果脑卒中急性期血压增高者占86.50%,以后在无特殊降压措施下血压随时间逐渐下降,第7日与第1日比较收缩压(SBP)及舒张压(DBP)均有明显下降。86.00%的脑卒中患者血压的昼夜节律消失;首测180mmHg≤SBP<220mmHg与SBP<180mmHg组,第30日日常生活能力比较无明显差别。结论脑梗死急性期患者血压增高,但增高的血压有自发下降的趋势;脑梗死患者血压的昼夜节律消失者占大多数;脑梗死急性期血压高低对近期日常生活能力无明显影响。
关键词(KeyWords)： 脑梗死;动态血压监测;丹参片
基金项目(Foundation):
作者(Author): 杜秀民,刘前,于春蕾
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