《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (11): 950-951.

• 专题　脑损伤康复 • 上一篇    下一篇

不同类型脑梗死急性期动态血压变异性分析

鲍瑞雪; 张通; 王志; 何威; 朱颖   

  1. 北京博爱医院急诊科,北京市 100068
  • 收稿日期:2006-05-12 出版日期:2006-11-01 发布日期:2006-11-01

Blood Pressure Variability in Patients with Lacunar Infarction or Nonlacunar Infarction

BAO Rui-xue, ZHANG Tong, WANG Zhi,et al   

  1. Beijing Charity Hospital, Beijing 100068, China
  • Received:2006-05-12 Published:2006-11-01 Online:2006-11-01

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摘要： 目的探讨不同脑梗死类型患者血压变异性(标准差/均值)的特点。方法监测发病24 h内脑梗死患者及健康体检者动态血压情况。比较腔隙性脑梗死、非腔隙性脑梗死及对照组动态血压变异性的差异。结果腔隙性脑梗死组24 h、昼收缩压变异系数明显高于其他两组;其他两者之间变异系数无显著性差异。结论血压的波动性可能对小动脉的影响大于大、中动脉。

关键词: 腔隙性脑梗死, 动态血压, 变异性

Abstract: ObjectiveTo investigate the difference of blood pressure variability among patients with lacunar infarction,nonlacunar infarction and normotension.MethodsBlood pressure was measured serially at 1-hour intervals during the first 24 hours after infarction with ambulatory blood pressure monitoring in 31 patients(17 cases with nonlacunar infarction and 14 cases with lacunar infarction).The blood pressure variability index were compared.ResultsBoth 24 h and day systolic blood pressure variability were significantly higher in lacunar infarction patients compared with nonlacunar infarction ones.ConclusionFluctuation of systolic blood pressure may disturb small arteries rather than large or middle arteries.

Key words: lacunar infarction, ambulatory blood pressure, variability