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目的 通过对脑卒中患者的脉压分析 ,了解脉压增大是否与脑卒中的发生有关。方法 将我院 5年来住院治疗的 90 7例脑卒中患者分为缺血性脑卒中和出血性脑卒中组 ,并随机选取同期来我院的体检人员 10 0 0例为对照组 ,分析三组人员的脉压差。结果 脉压的增大与脑卒中的发生呈正相关。在缺血性脑卒中组 ,脉压最大的分布区域在70～ 79mmHg ,占 2 7.7%;出血性脑卒中组脉压最大的分布区域在 70～ 79mmHg ,占 2 5 7%;对照组脉压最大的分布区域在 5 0～ 5 9mmHg ,占 2 8 5 %。显示脉压大于 70mmHg脑卒中发生的频率较高。年龄的增大与脉压有一定的关系 ,但三组的同年龄分组比较 ,脑卒中组的脉压水平明显高于对照组 ,直线回归系数有显著差异。三组人员中的高血压患者的脉压分析 ,缺血性脑卒中组的脉压值为 77± 12 4mmHg ;出血性脑卒中组的脉压值为 76± 17 6mmHg ;对照组的脉压值为 5 9± 13 5mmHg。与对照组比较不论是缺血性脑卒中组还是出血性脑卒中组P值均 <0 0 5。结论 脉压的增大与脑卒中的发生有关 ,是引起脑卒中发生的重要危险因素。
Objective To investigate whether pulse pressure increase is related to stroke by analyzing pulse pressure in patients with stroke. Methods 907 stroke patients hospitalized in our hospital for 5 years were divided into two groups: ischemic stroke and hemorrhagic stroke group. One hundred and ten patients in our hospital were randomly selected as the control group. The three groups Personnel pulse pressure difference. Results The increase of pulse pressure was positively correlated with the occurrence of stroke. In ischemic stroke group, the maximum pulse pressure distribution ranged from 70 to 79 mmHg, accounting for 2 7.7%. The distribution of the maximum pulse pressure in hemorrhagic stroke group was 70-79 mmHg, accounting for 25.7%. In the control group, the pulse pressure The largest distribution area of 50 ~ 59mmHg, accounting for 285%. Pulse pressure greater than 70mmHg showed a higher frequency of stroke. The age increased with the pulse pressure has a certain relationship, but the three groups with the same age group, stroke group pulse pressure was significantly higher than the control group, the linear regression coefficients were significantly different. Pulse pressure analysis of hypertensive patients among the three groups showed that the pulse pressure of the ischemic stroke group was 77 ± 12 4mmHg, that of the hemorrhagic stroke group was 76 ± 17 6mmHg, and that of the control group Is 5 9 ± 13 5 mmHg. Compared with the control group, P values in both ischemic stroke group and hemorrhagic stroke group were <0.05. Conclusions The increase of pulse pressure is related to the occurrence of stroke and is an important risk factor of stroke.