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目的观察脑梗死急性期血压变化特点,探讨其与进展性脑梗死的关系。方法收集2013年7月~2014年4月本院收治的急性脑梗死患者129例。采用斯堪地那维亚卒中量表(Scandinavian Stroke Scale,SSS)评估病情是否发生进展,监测患者发病后72 h内的血压,分析血压变化特点及其与进展性脑梗死的关系。结果脑梗死发病72 h内血压呈逐渐降低趋势。进展组患者高血压病史患病率显著高于非进展组,且各时段平均血压也显著高于非进展组。无高血压病史的患者各时段平均血压进展组显著高于非进展组,而有高血压病史的患者各时段平均血压2组比较无显著差异。结论脑梗死急性期血压呈自发性下降。对于无高血压病史的患者急性期血压增高与进展性脑梗死有关,而对有高血压病史的患者急性期血压增高或许有保护作用。
Objective To observe the changes of blood pressure during the acute stage of cerebral infarction and to explore its relationship with progressive cerebral infarction. Methods A total of 129 acute cerebral infarction patients admitted to our hospital from July 2013 to April 2014 were collected. The Scandinavian Stroke Scale (SSS) was used to assess the progression of the disease. The blood pressure was monitored within 72 hours after the onset of the disease. The changes of blood pressure and its relationship with progressive cerebral infarction were analyzed. Results Within 72 hours after the onset of cerebral infarction, blood pressure gradually decreased. The prevalence of hypertension in the progression group was significantly higher than that in the non-progression group, and the mean blood pressure was significantly higher in each group than in the non-progression group. The average blood pressure progression group in each period without hypertension history was significantly higher than the non-progress history group, while there was no significant difference between the two groups in the history of hypertension history. Conclusion The acute stage of cerebral infarction has a spontaneous decline in blood pressure. In patients with no history of hypertension, the increased blood pressure in the acute phase is associated with progressive cerebral infarction, whereas the protection of elevated blood pressure may be protective in patients with a history of hypertension.