摘要
Abstract
Objective To investigate the associations of blood pressure variability(BPV) and internal diameter of left atrium with primary hypertension accompanied with recurrent cerebral infarction(CI). Methods Patient with primary hypertension accompanied with recurrent CIin the first affiliated hospital of the medical college, Shihezi university from October 2016 to October 2017 were collected. Patients were divided into group A (first attack group, 78 patients) and group B(recurrence group, 71 patients) according to whether the CIattacked for the first time. Statistical tests were performed to test the average values of blood pressure of 24 h, daytime and nighttime and BPV. Setting BPVand LADIas independent variables, logistic regression analysis was used to analyze the influential factors of the CIrecurrence. Results SBPof 24 h and daytime as well as DBPof 24 h, daytime and nighttime in group Bwere statistically higher than those in group A (P<0. 05). SBPVof 24 h, SBPVof daytime, DBPVof 24 h and LADIin group Bwere statistically higher than those in group A(P<0. 05). The results of Logistic regression analysis showed BMI, LADI, DBPVof 24 h, SBPVof daytime and DBPVof daytime were the risk factors of the recurrence of CI. Conclusion Increase in average blood pressure was associated with the recurrence of CI, BMI, LADI, DBPVof 24 h, SBPVof daytime and DBPVof daytime were the risk factors of the recurrence of CI.关键词
原发性高血压/复发性脑梗死/血压变异性/左室内径/左房内径指数Key words
Primary hypertension/Recurrent cerebral infarction/Blood pressure variability/Internal diameter of left ventricle/Index of left atrium internal diameter分类
医药卫生