中国医学创新Issue(18)：8-10,11,4.DOI:10.3969/j.issn.1674-4985.2015.18.003
不同类型脑梗死患者急性期血压调控对预后的影响
Efficacy of Acute Blood Pressure Regulation Treat for Different Types Cerebral Infarction Prognosis
摘要
Abstract
Objective:To explore the efficacy of acute blood pressure regulation in different types cerebral infarction prognosis.Method:162 patients with acute cerebral infarction were randomly divided into the control group(n=95) and the intervention group(n= 67).The control group patients patients were treated with routine use of aspirin,calcium antagonists, and supplemented citicoline be symptomatic and supportive treatment.The intervention group were treated with drugs for lowering blood pressure on the basis of the control group.Decreased blood pressure in 160/100 mm Hg in 1 day after admission.The NIHSS score,Barthel Index score and modified Rankin scores were compared at admission,the first week after treatment,six months after treatment and and 1 year after treatment between the two groups.Result:The Barthel Index score at the first week after treatment(46.3±12.8) points vs (49.1±13.3) points in the intervention group were significantly lower than the control group (P<0.05).The NIHSS,Barthel Index score and modified Rankin score at six months after treatment and 1 year after treatment in the intervention group were significantly lower than the same period of the control group(P<0.05 orP<0.01).The Barthel Index scores at the first week after treatment of TACI,PACI,POCI type were significantly lower than those of the control group (P<0.05).The modified Rankin score at the first week after treatment of TACI type was significantly higher than the control group (P<0.05).The Barthel Index scores at six months after treatment of LACI,TACI,PACI,POCI in the intervention group were significantly lower than the same period of the control group(P<0.05 orP<0.01).The NIHSS score at six months after treatment of LACI,TACI,PACI,POCI in the intervention group were significantly higher than the control group(P<0.05 orP<0.01). Conclusion:The efficacy of early Antihypertensive treat for acute cerebral infarction prognosis are poor.关键词
OCSP/脑梗死/急性期/血压调控/预后Key words
OCSP/Cerebral infarction/Acute phase/Blood pressure regulation/Prognosis引用本文复制引用
陈锋,彭慕立,梁国华,彭秉纲..不同类型脑梗死患者急性期血压调控对预后的影响[J].中国医学创新,2015,(18):8-10,11,4.基金项目
2012年肇庆市科技创新计划项目（第二批） （）
