陕西医学杂志Issue(11)：1468-1471,1472,5.
脑卒中急性期动态血压变化、血压与预后关系研究
Effects of the blood pressure and dynamic blood pressure changes on cerebral flow in actue stroke
摘要
Abstract
Objective:to study the rule of the dynamic blood pressure changes and the relationship be-tween blood pressure and cerebral blood flow in actue stroke patients who were admitted to hospital in 7days (1 ,3 ,7 days) .Provided the scientific basis for actue stroke in the blood pressure control and the management of cerebral blood flow is our purpose .Methods :In this study ,we selected 41 cases of acute stroke patients in ICU .We observed dynamic changes in blood pressure on ECG monitor and prognosis of patients .Result :①Blood Pressure elevated in initial stage of acute stroke ,Blood Pressure was increased increased about 87 .1% for the first time ,especially the systolic blood pressure ,and declined spontaneously with the time without specifically administrative drugs ,compared with the frist 24-hour after onset ,systolic blood pressure (SBP)and diastolic blood pressure (DBP) both had signifi-cantly decreased at the 3th and 7th day .②Patients with acute hemorrhagic stroke had significantly higher SBP and DBP than those with acute ischemic stroke .③There was a U-shaped relationship between admission SBP and 7-day Prognosis and L-shaped relationship between DBP and 7-day prognosis in the group of cerebral infarction ,However , In the group of cerebral hemorrhage ,we found a U-shaped relationship between admission SBP and 7-day Prognosis and J-shaped relationship between DBP and 7-day Prognosis .Conclusion :① Blood Pressure usually elevated inpa-tients with acute stroke ,and declined gradually with the time .Patients with hemorrhagic stroke has signifieantly higher SBP and DBP than those with ischemic stroke .The management of elevated blood pressure during acute sr-toke should be cautious appropriate and individualized .②Ipsilateral and contralateral side cerebral blood flow auto-regulation are proably both Damaged in acute stroke . .③ The level of blood pressure should control in160/90~100mmHg ,who is cerebral hemorrhage .And 160~180/90~100mmHg is the appropriate blood pressure ,who is cerebral Infarction .关键词
卒中/病理生理学/动态血压/预后/急性病Key words
Stroke/physiopathology/Ambulatory blood pressur/Prognosis/Acute disease分类
医药卫生引用本文复制引用
陈尔秀,高珩,古长维,闫中南,李丽君..脑卒中急性期动态血压变化、血压与预后关系研究[J].陕西医学杂志,2013,(11):1468-1471,1472,5.基金项目
陕西省科技发展计划资助项目 （）
