急性脑卒中急性期血压调控与早期预后的相关性研究

目的 探讨急性脑卒中急性期血压调控与早期预后的相关性。方法 本研究对20005年9月至2006年12月发病72h内入院的急性脑卒中符合人选标准的患者，据单、双日随机分为A、B两组。于入院24h内、7d、14d进行神经功能缺损评分，调控血压并记录其他影响预后的危险因素。结果共纳入急性脑卒中患者692例，血压与预后呈U型关系。入院时血压升高的发生率为71．24％，合并高血压组较不合并高血压组预后差。血压调控在140—180/180—90mmHg时预后最好，为U型关系的分界值。脑卒中急性期高血压是近期预后不良的独立危险因素，高血糖、白细胞升高与预后不良呈正相关。结论 急性脑卒中患者急性期血压调控是早期预后的独立影响因素。

The acute brain died the acute time blood pressure regulation and theearly pre after relevant research

Objective Discusses the acute apoplexy acute time blood pressure regulation andthe early preafter relevance.Method This research December, 2006 arises to from September, 2005 to theacute apoplexy which in 72h is hospitalized to conform to the selectedstandard patient according to the list, the even- numbered daysstochastically divides into A, the B two groups. To is hospitalized in 24h, 7d, 14d carries on the nerve functiondamage to grade, the regulative blood pressure and record other affectpre- after the dangerous factor. Result Altogether brings into line with the acute apoplexy patient 692examples, the blood pressure after pre - assumes the U relations. In hospitalized when the blood pressure ele- vates the formation rate is71.24%, after merges the hypertension group comparatively not to mergethe hypertension group pre- to miss. Blood pressure regulation after 140 - 180,/80-90mmHg pre- is best,is the U relations dividing line value. After the apoplexy acute time hypertension will be the short - term pre - not good independence dangerous factor, the high blood sugar, thewhite blood cell will elevate after pre - not good presents thecorrelation. Conclusion The acute apoplexy patient acute time blood pressure regulation is theearly pre - after independent influence factor.