血压昼夜节律变化与脑卒中神经功能缺损程度的关系(附103例报告)

BP RHYTHM CHANGING OF DAY-AND-NIGHT RELATED TO NERVE DEFUNCTION DEGREE OF CEREBRAL APOPLEXY

目的 :了解血压昼夜节律变化与脑卒中患者神经功能缺损程度的关系 ,探讨脑卒中的预测和治疗方法。方法 :对 10 3例高血压缺血性脑卒中患者的 2 4h动态血压检测与临床神经功能缺损程度评分进行回顾性分析。结果 :在神经功能缺损程度的轻、中度组 ,血压的杓形改变 (血压昼夜节律正常 )与非杓形改变 (血压昼夜节律消失 )无显著性差异 (P >0 0 5 ) ,重度组杓形与非杓形改变有显著性差异 (P <0 0 0 5 )。血压非杓形改变的高血压患者脑卒中的发生率明显高于血压杓形改变者。结论 :血压昼夜节律消失 ,易发生脑卒中 ,且脑卒中后神经功能缺损严重。

Objective:To understand the relationship between blood pressure(BP) rhythm changing and nerve defunction degree of cerebral apoplexy patients.Method:103 cases high BP cerbral apoplexy dynamic BP were test in day and at night.The patients's nerve defunction degree were reviewed and statistics analysis were perform.Results:There were no difference between BP scoop-shape (normal rhythm)and unscoop-shape changes in the nerve defunction mild and moderate degree groups,and there were significant difference between BP scoop-shape and unscoop-shape(disappeared rhythm) change in the nerve defuntion severity degree group.The incidence of high BP cerebral apoplexy with BP rhythm disappeared day-and-night are obviously higher than that with normal BP rhythm.Conclusion:The incidence of high BP cerebral apoplexy have a positive relationship with the patient' BP rhythm disappeared day-and-night.