脑梗死急性期血压调控与预后关系的研究

目的研究脑梗死急性期血压的变化规律,探讨脑梗死急性期血压调控对预后的影响。方法对80例急性脑梗死患者在发病7d内进行动态血压监测。使用美国国立卫生研究院卒中评分（NIHSS）评价患者发病第1日、第7日神经功能缺损情况。结果脑梗死急性期血压呈自然下降规律,第7天与第l天比较,差异有统计学意义（P〈0.05）;治疗前后神经功能缺损程度比较差异有统计学意义（P〈0.05）。结论脑梗死患者急性期高血压常见,有自发下降的趋势。合理调控急性脑梗死患者血压,能明显提高神经功能恢复,降低致残率。

Regulating in Blood Pressure and Its Relation with Prognosis of Acute Ischemic Stroke

Objective To investigate the change regularity in blood pressure of patients with acute isehemie stroke and independent factors related to BP levels;To evaluate the relationship between BP in acute stage and prognosis.Methods Ambulatory blood pressure monitoring was performed within 7day in 80 acute cerebral infarction patients with essential hypertension.Their neurological deficit was assessed with the National Institutes of Health stroke scale（NIHSS） on the first and the fifth day.Results Blood pressure in acute cerebral infarction was the law of natural decline in the first 7 days compared with the first l day,the difference was statistically significant（P〈0.05）;degree of neurological deficits before and after treatment the difference was statistically significant（P〈0.05） .Conclusion The elevated blood pressure after acute ischemic stroke declined spontaneously.reasonable blood pressure control in patients with acute cerebral infarction,Can signif-icantly improve recovery of neurological function and reduce disability.