H型高血压与脑梗死后早期康复效果的相关性

Correlation between early rehabilitation efficacy of patients with acute cerebral infarction and H-type hypertension

目的探讨高血压、H型高血压与脑梗死后早期康复效果的相关性。方法脑梗死后行早期康复的患者123例,根据其是否有高血压分为高血压组(A组)84例,男50例,女34例;非高血压组(B组)39例,男24例,女15例;A组根据同型半胱氨酸水平分为H型高血压组(A1组)56例,男36例,女20例;非H型高血压组(A2组)28例,男18例,女10例。分别比较各组康复治疗前后日常生活能力评分(Barthel index,BI),肢体运动功能评分(Fug-l Meyer,FM)差值。结果 B组FM、BI前后评分及康复前后评分差值高于A组(P<0.05);A2组FM、BI康复前后评分及评分差值高于A1组(P<0.05)。结论高血压尤其是H型高血压是脑梗死早期预后不利的危险因素。

Objective To analyze the relationship between early rehabilitation efficacy of patients with acute cerebral infarction and H-type hypertension.Methods The study involved a total of 123 patients with acute cerebral infarction undergoing early rehabilitation.All cases were divided into two groups,group A：patients with hypertension and group B：patients without hypertension.Group A was subdivided into group A1 and group A2 according to the level of homocysteine. Fug-l Meyer （FM） and Barthel index （BI ） scores were observed before and after early rehabilitation in all groups.Results The scores after early rehabilitation and the improved scores of FM and BI were significantly different between group A and B,and between group A1 and A2 （P 〈0.05）.Conclusion Hypertension, especially H-type hypertension,was considered risk factor in patients with acute cerebral infarction undergoing early rehabilitation.