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目的探讨纯收缩期高血压脑出血患者的发病与年龄、脉压及昼夜节律变化的关系。方法总结收缩期高血压脑出血患者的发病年龄、脉压及昼夜变化规律,再计算出昼夜各时段发病例数距平均值的百分率。结果①收缩期高血压脑出血患者多为60~69岁年龄组,其次为70~79岁年龄组。②发病最多的60~69岁年龄组患者的脉压差最大。③发病时间以9:00~10:00、17:00~18:00、15:00~16:00为高峰,以凌晨1:00~5:00为低谷。结论收缩期高血压脑出血患者以60岁以上居多,脉压差越大发病率越高,出血时间具有一定生物钟关系。积极有效地控制血压是预防脑出血发生的重要环节。
Objective To investigate the relationship between the incidence of pure systolic hypertensive intracerebral hemorrhage and age, pulse pressure and circadian rhythm. Methods The age, pulse pressure and diurnal variation of systolic hypertensive intracerebral hemorrhage were summarized, and then the percentage of the average number of cases in each period of day and night was calculated. Results ① Most patients with systolic hypertensive intracerebral hemorrhage were aged 60-69 years, followed by those aged 70-79 years. ② the incidence of up to 60 to 69 age group patients with the largest pulse pressure difference. ③ onset time to 9: 00 ~ 10: 00,17: 00 ~ 18: 00,15: 00 ~ 16: 00 as the peak, 1:00 to 5:00 as the trough. Conclusions Patients with systolic hypertensive intracerebral hemorrhage are predominately over 60 years old. The higher the incidence of pulse pressure difference is, the higher the bleeding rate is. Active and effective control of blood pressure is an important part of prevention of cerebral hemorrhage.