急性脑血管病的动态血压监测

Ambulatory blood pressure monitoring of the acute cerebrovascular disease

目的观察血压异常与急性脑血管病（ＡＣＶＤ）发病的关系。方法采用动态血压监测技术（ＡＢＰＭ）观察４０例ＡＣＶＤ患者和４０名正常成人。其中脑梗塞２２例，脑出血１８例。结果ＡＢＰＭ监测结果显示：４０例ＡＣＶＤ患者ＡＢＰＭ异常者３７例（９２．５％），其中平均收缩压（ＭＳＢＰ）、平均舒张压（ＭＤＢＰ）超过正常值者３２例（８０．０％），血压波动较大者１９例（４７．５％）（即每小时之间相差＞２０％），其中多数合并存在ＭＳＢＰ、ＭＤＢＰ升高；低血压状态５例（１２．５％）；血压正常３例（７．５％）。结论血压异常包括高血压、低血压、血压波动等，与ＡＣＶＤ发病有密切关系。ＡＢＰＭ优于传统的随测血压，并指导临床用药和估计血压异常的预后。因此，ＡＢＰＭ对于研究血压异常在ＡＣＶＤ发病中的作用有重要价值。

Objectives To observe the relationship of abnormal blood pressure with acute cerebrovascular disease (ACVD).Methods We studied 40 patients with ACVD and 40 normal persons of them,there were cerebral infarction 22 cases,cerebral hemorrhage 18 cases.Results Ambulatory blood pressure monioring (ABPM) showed 37 abnormal cases (92.5%);among them ,32 cases (80.0%) showed mean SBP and mean DBP increase;19 cases (47.5%) wavy blood pressure;5 cases (12.5%) hypotension;3 cases (7.5%) normal blood pressure.Conclusions Abnormal blood pressure in patients with ACVD was of mang types,including hypertension,hypotension,wavy blood pressure.ABPM is recomended in diagnosis and treatment.