脑出血病人急性期动态血压变化及与预后的关系

Ambulatory Blood Pressure Change and Its Relation to Prognosis in Acute Cerebral Hemorrhage

目的研究脑出血急性期动态血压变化规律以及血压等因素对预后影响。方法对45例急性脑出血病人监测1周动态血压,分析1周内平均收缩压和舒张压、出血量、出血部位、年龄、性别与预后关系。结果脑出血病人7d血压变化呈逐渐下降趋势,第7天与第1天动态血压参数比较有统计学意义;低龄、女性、出血量少以及收缩压及舒张压较低者病情预后较好。结论脑出血急性期病人血压变化呈逐渐下降趋势,对急性脑出血高血压的处理要慎重,应采取合理、个体化治疗。

Objective To investigate blood pressure changes inpatients （pts） with acute cerebral hemorrhage and its prognostic values, Methods Ambulatory blood pressure monitoring were performed in 45 pts with acute cerebral hemorrhage. The factors influencing prognosis were analyzed. Results Increased blood pressure after onset of acute cerebral hemorrhage had spontaneous decreasing tendency. The mean values of systolic blood pressure and diastolic blood pressure in a week, sex and hemorrhage location were the factors affecting prognosis. Conclusion The management of elevated blood pressure during acute stroke should be cautious, appropriate and individualized.