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目的 探讨脉压与脑卒中的相关性。方法 对 85例急性脑卒中患者临床资料进行回顾性分析。按病变性质分为脑出血组 (4 5例 )和脑梗死组 (4 0例 ) ,对照组 36例为非脑卒中高血压患者 ,比较分析不同年龄高血压患者脉压异常情况。结果 ①脉压在脑卒中组与对照组之间有显著性差异 (P <0 .0 1) ,脑出血组和脑梗死组之间脉压亦有显著性差异 (P <0 .0 5 )。②随着年龄增长、脉压 70mmHg异常率在各组均逐渐增加 ,脉压异常率与年龄之间存在一定的正相关。结论 高血压病患者脉压增宽与脑卒中危险性密切相关 ,脉压是老年人心脑血管意外的一个良好的预测因子。
Objective To explore the correlation between pulse pressure and stroke. Methods The clinical data of 85 patients with acute stroke were retrospectively analyzed. According to the nature of the disease, they were divided into intracerebral hemorrhage (45 cases) and cerebral infarction group (40 cases). The control group (36 cases) were non-stroke hypertensive patients. The abnormal pulse pressure of patients with different ages were compared. Results ① The pulse pressure was significantly different between the stroke group and the control group (P <0.01). There was also significant difference in pulse pressure between the cerebral hemorrhage group and the cerebral infarction group (P <0.05) . ② With age, abnormal rate of pulse pressure 70mmHg increased gradually in all groups, there was a positive correlation between pulse rate and age. Conclusion Pulse pressure is closely related to the risk of stroke in patients with hypertension. Pulse pressure is a good predictor of cardiovascular and cerebrovascular accidents in the elderly.