脑卒中急性期血压监测及其与预后关系的临床研究

A clinical observation of ambulatory blood pressure monitoring and its correlation with prognosis in acute stroke

目的 探讨急性脑卒中后动态血压变化及其与预后的关系。方法 由专人 (同一人 )负责对 5 5例急性脑卒中患者进行了第 1及第 7天动态血压的监测 ,同时评定第 1、第 7天及第 30天神经功能评分及病残程度分级。结果 脑卒中后增高的血压在 7天后 ,在无特殊降压措施条件下 ,无论是随测血压 ,还是动态血压均自发下降。生活基本自理组 (0～Ⅲ )和生活依赖组 (Ⅳ～Ⅶ )脑卒中后增高的血压无明显差异性。结论 脑卒中急性期血压存在自发下降趋势 ,脑卒中急性期血压的治疗需采取慎重、合理。

Objective To evaluate ambulatory blood pressure changes and its prognostic values in acute stroke.Methods A total of 55 consecutive patients were selected within 24h after acute stroke onset corresponding with the diagnostic criteria of acute stroke. All patients were assessed within 24h of onset by same observer with causal and ambulatory blood pressure monitoring (ABPM), MESSS and Scale of handicap. Repeated assessments were made at the 7th day and the 30th day after onset.Results The elevated blood pressure after acute stroke declined spontaneously after 7 days without specifically administrative drugs. There was no significant difference in blood pressure levels between the life independent group and life dependent group in admission and the 7th day.Conclusion The management of elevated blood pressure during acute stroke should be cautious, appropriate and individualized.