缺血性脑卒中急性期血压水平变化对预后的影响

Changes of Blood Pressure in Patients with Acute Ischemic Stroke and the Effect on the Prognosis

目的:观察分析缺血性脑卒中急性期血压水平变化对预后的影响。方法:随机选取我院缺血性脑卒中急性期患者192例,其中勺型组、非勺型组、超勺型组和反勺型组各48例。对比分析4组患者的NIHSS评分和Barthel指数,并统计各组患者的疗效情况。结果:治疗3个月后,勺型组患者的NIHSS评分明显低于其他三组患者,且勺型组患者的Barthel指数明显高于其他三组(P<0.05)。勺型组患者的治疗总有效率为93.75%,明显高于非勺型组(79.17%)和超勺型组(60.42%)(P<0.05)。结论:缺血性脑卒中急性期患者血压昼夜节律变化异常,其异常情况严重影响临床治疗效果,不利于患者治疗后神经功能恢复和预后。

Objective： To observe the changes of blood pressure in patients with acute ischemic stroke and their effect on the prognosis of them. Methods： 192 patients with acute ischemic stroke in our hospital were randomly selected, and divided into spoon-type group, the non-dipper group, ultra- dipper group and anti-dippers group of 48 patients each. NIHSS score and Barthel index of four groups were statistically analyzed and the treatment effect of each group was counted. Results. NIHSS score of spoon-type group was lower than that of other three groups and Barthel index of spoon-type group was higher than that of other three groups（P〈0.05）. Total efficiency of spoon- type group（93.75%） was higher than those of non-dippers group （79. 17%） and ultra-dippers group （60.42%） （P〈0.05）. Conclusion： Blood pressure in patients with acute ischemic stroke are always with circadian variation and it has great impact on clinical outcomes which is not con- ducive to the treatment of neurological functional recovery and prognosis.