肌力对脑卒中健患侧血压的影响

The Muscular Force Effect on the Blood Pressure of Normal and Abnormal Arms in Cerebral Stroke

目的:探讨肌力对脑卒中急性期及后遗症期健患侧血压差异的影响。方法:126例脑卒中急性期和73例后遗症期患者用汞柱台式血压计对健患侧上肢血压进行对比分析。结果:脑卒中急性期健患侧血压无差异(P>0.05);后遗症期健侧血压高于患侧(P<0.05),肌力0～1级、2～3级健侧收缩压明显高于患侧(P<0.05);对两臂血压差值>10mmHg的比率,后遗症期明显高于急性期(P<0.01);同时后遗症期健侧高的比率明显高于患侧高的比率(P<0.01)。结论:脑卒中急性期健患侧均可用于测量血压,后遗症期主要选健侧测量血压。

Objective： To evaluate the muscular force effect on the blood pressure differences of normal and abnormal arms in cerebral stroke both acute stage and sequela stage. Methods： 126 cases with cerebral stroke in acute stage and 73 cases with cerebral stroke in sequela stage had been compared to the blood pressure of normal and abnormal arms using desk model sphymomanometer. Results： The blood pressure of normal and abnormal arms in acute stage of cerebral stroke was no significantly difference （P〉0.05）;The blood pressure of normal arm in sequela stage was significantly higher this of abnormal arm （P〈0.05）;And the systolic pressure of normal arm in sequela stage with muscular force 0-1 grade and 2-3 grade was significantly higher this of abnormal arm （P〈0.05）;To the rate of blood pressure difference 10mmHg of two arms. The rate of sequela stage was significantly higher than that of acute stage（P〈0.01）;And the rate of normal arm in sequela stage was significantly higher than that of the abnormal arm （P〈0.01）. Conclusion： The normal and abnormal arms may be chosen to measure blood pressure in acute stage of cerebral stroke; And normal arm is mainly chosen to measure blood pressure in sequale stage of cerebral stroke.