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目的探讨血压变异性对高血压性脑出血预后效果的影响。方法选取50例高血压性脑出血患者作为研究对象,所有患者入院后均行急诊手术,对本组患者的血压变异指标ARV、SD进行检测,并观察患者的格拉斯哥预后评分(GOS)变化。结果预后不良组患者的24 h SBP、24 h DBP、24 h SBP SD、24 h DBP SD、24 h SBP ARV、24 h DBP ARV水平均显著高于预后良好组患者(P<0.05)。Logistic回归分析结果显示24 h SBP ARV与预后呈负相关(P<0.05),即24 h SBP ARV值越大,预后越差。结论血压变异性可作为脑出血的有效监测指标,血压变异性与高血压性脑出血患者的近期预后效果显著相关。
Objective To investigate the effect of blood pressure variability on prognosis of hypertensive intracerebral hemorrhage. Methods Fifty patients with hypertensive intracerebral hemorrhage were enrolled in this study. All patients underwent emergency surgery after admission. The ARV and SD were measured and the Glasgow Outcomes (GOS) scores were observed. Results The 24 h SBP, 24 h DBP, 24 h SBP SD, 24 h DBP SD, 24 h SBP ARV and 24 h DBP ARV in the poor prognosis group were significantly higher than those in the good prognosis group (P <0.05). Logistic regression analysis showed that the 24-hour SBP ARV was negatively correlated with the prognosis (P <0.05), that is, the greater the 24-h SBP ARV, the poorer the prognosis. Conclusion The variability of blood pressure can be used as an effective indicator of cerebral hemorrhage. The variability of blood pressure is significantly related to the short-term prognosis of patients with hypertensive intracerebral hemorrhage.