老年脑梗死患者急性期血压与预后的关系分析

目的：分析老年部分前循环脑梗死（partial anterior circulation infarct,PACI）患者急性期血压变化与远期预后的关系.方法：2011年1月-12月上海市浦东新区周浦医院收治80例老年PACI患者,入院后监测血压,并于入院时、发病14 d及3个月时进行美国国立卫生研究院卒中量表评分（National Institutes of Health Stroke Scale,NIHSS）及改良Bathel指数（modified Barthel index,MBI）测评,分析血压变化与预后的关系.结果：80例患者中,完成3个月随访者68例,失访12例.发病时58例（85.3％）患者出现血压升高,7d内部分患者血压有自然下降趋势.3个月时7d内收缩压下降幅度10％～20％组,5％～10％组和≥20％组的NIHSS评分及MBI差异有统计学意义;而7d内舒张压下降幅度10％～20％组,5～10％组和≥20％组比较,差异无统计学意义.结论：老年PACI患者急性期收缩压变化幅度与远期预后有关.

Association between Blood Pressure Variability and Prognosis of Elderly Patients with Actute Cerebral Infarction

Objective：To study the relationship between blood pressure variability and long-term prognosis of elderly patients with acute partial anterior circulation infarct （PACI）.Methods：A total of 80 PACI patients in Zhoupu Hospital in Shanghai Pudong New Area from January to December 2011 were enrolled.The blood pressure within 14 days after admission was monitored.Both National Institutes of Health stroke scale （NIHSS） and modified Barthel index （MBI） were measured at admission,14 days of onset and 3 months.The relationship between blood pressure variability and prognosis was analyzed.Results：In 80 patients,68 cases completed the 3-month follow-up.At onset,58 （85.3％） cases were with high blood pressure,and blood pressure of some patients dropped within a week.At 3 months the NIHSS score and mBI.In patients whose systolic blood pressure dropped 10％-20％,5％-10％ and ≥ 20％ within 7 days were significanthy different.Howevere,at 3 months,NIHSS scores and mBIs had no correlation with diastolic blood pressure variability within 7 days.Conclusions：In elderly acute PACI patients,systolic blood pressure variability within 6 days after onset was related to the long-term prognosis.