伴高血压病的不同部位初发脑梗死患者急性期血压比较研究

Comparison of Acute Blood Pressure in Hypertension Patients with Primary Cerebral Infarction at Different Parts

目的探讨不同部位脑梗死急性期的血压变化。方法将181例发病24小时内入院的急性脑梗死患者按梗死部位分为前循环梗死(ACI)组和后循环梗死(PCI)组。所有患者在入院后立即行24小时动态血压监测。分析的参数包括平均血压、收缩压、舒张压。结果大部分患者在脑梗死急性期血压高于正常。其中,前循环梗死患者的舒张压较收缩压升高明显,后循环梗死患者的收缩压较舒张压升高明显。结论前循环梗死患者宜选用降舒张压显著的降压药,后循环梗死患者宜选用降收缩压显著的降压药,还可选择他汀等药物辅助降压。

Objective To investigate the blood pressure changes in acute stage of cerebral infarction at different sites. Methods The 181 patientswith acute cerebral infarction in the first 24 hours after onset were divided into anterior circulation infarction（ACI） group and posterior circulationinfarction （PCI） group according to the site of infarction. All patients were performed 24 hours consecutively ambulatory blood pressuremonitoring immediately after admission. BP values included average BP, SBP, DBP. Results Most patients had higher blood pressure than normalduring acute stage of cerebral infarction. Among them, the DBP in patients with ACI and the SBP in patients with PCI increased significantly.Conclusion The patients with ACI should choose the DBP reduction drugs, the patients with PCI should choose the SBP reduction drugs, and can alsochoose statins and other drugs to assist the blood pressure reduction.