急性脑梗死预后与高血压危险分层的关系

目的分析急性脑梗死预后与高血压危险分层的关系。方法将220例急性脑梗死患者进行高血压危险分层,并分为低中危组30例、高危组80例、极高危组110例,观察入院后第1、3、7及14天神经功能缺损情况,并分析其关系。结果高危组与极高危组入院第1天神经功能缺损评分差异无统计学意义(P>0.05);极高危组其余时间点临床神经功能缺损评分明显高于高危组和低中危组(P<0.01);低中危组临床疗效明显优于高危组和极高危组(P<0.01)。结论高血压危险分层对评估脑梗死急性期患者预后有重要参考价值。

Relationship of prognosis of acute cerebral infarction with hypertension risk stratification

Objective To analyse the relationship of the prognosis of acute cerebral infarction(ACI) with hypertension risk stratification.Methods Hypertension risk stratification was carried out for 220 cases of ACI patients who were then divided into a low risk group(30 cases),high risk group(80 cases),and very high risk group(110 cases).Neurological deficit situation was observed, relations of hypertension risk stratification with clinical neurological function deficit score and clinical curative effect were observed on days 1,3,7 and 14 after admission.Results Clinical neurological function deficit score was increased with increasing hypertension risk,but the difference between high risk group and the very high risk group was not statistically significant on the first day,the rest time points between the groups showed statistically significant difference. Conclusion Hypertension risk stratification has important reference value in the evaluation of prognosis ACI patients.