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目的通过对高血压病伴脑卒中患者的血压分析,探讨血压指标与脑卒中发生的关系。方法选取高血压性脑卒中患者289例,测定各种血压指标,与另选取的100例非脑卒中高血压病患者作对照。结果脑卒中组的脉压水平明显高于对照组,两者比较差异有统计学意义(P<0.05);出血性与缺血性脑卒中的血压指标差异无统计学意义(P>0.05);再发脑卒中组收缩压与脉压高于初发脑卒中组,两者比较差异有统计学意义(P<0.05)。结论脉压增大与脑卒中的发生有关,是引起脑卒中发生及再发的重要危险因素和良好的预测因子。
Objective To investigate the relationship between blood pressure and the incidence of stroke by analyzing the blood pressure in hypertensive patients with stroke. Methods A total of 289 patients with hypertensive stroke were enrolled in this study. Various blood pressure indexes were measured and compared with 100 non-stroke hypertensive patients. Results The pulse pressure of stroke group was significantly higher than that of control group (P <0.05). There was no significant difference of blood pressure between hemorrhagic and ischemic stroke (P> 0.05). Systolic pressure and pulse pressure were higher in recurrent stroke group than those in initial stroke group (P <0.05). Conclusions Increased pulse pressure is associated with the occurrence of stroke and is an important risk factor and a good predictor of stroke occurrence and recurrence.