缺血性卒中伴高血压患者的24h动态血压与脑微出血的关系

发布时间：2018-06-05 12:51

本文选题：脑微出血 + 动态血压　；参考：《中风与神经疾病杂志》2016年12期

【摘要】：目的探讨缺血性卒中伴高血压患者的24 h动态血压与脑微出血的相关性。方法对连续缺血性卒中伴高血压患者进行脑核磁磁敏感加权成像检查,明确是否存在脑微出血,在入院24 h内测量患者动态血压,并收集患者一般情况、缺血性脑血管病危险因素、实验室指标。用Logistic回归分析CMBs与动态血压指标的关系。结果 186例缺血性卒中伴高血压患者纳入研究,单因素回归分析显示年龄、糖尿病、24 h平均收缩压、日间平均收缩压、夜间平均收缩压与脑微出血相关。多因素回归分析显示24 h平均收缩压与脑微出血相关。结论在缺血性卒中伴高血压患者人群中,24 h平均收缩压是脑微出血的重要影响因素。
[Abstract]:Objective to investigate the relationship between 24 h ambulatory blood pressure and cerebral microhemorrhage in patients with ischemic stroke and hypertension. Methods the patients with continuous ischemic stroke complicated with hypertension were examined with magnetic susceptibility weighted imaging (MRI) to determine whether there was cerebral microhemorrhage. The ambulatory blood pressure was measured within 24 hours after admission, and the general information of the patients was collected. Risk factors and laboratory indexes of ischemic cerebrovascular disease. The relationship between CMBs and ambulatory blood pressure was analyzed by Logistic regression analysis. Results 186 patients with ischemic stroke and hypertension were included in the study. Univariate regression analysis showed that age, mean systolic blood pressure at 24 h, mean systolic blood pressure during day, and mean systolic blood pressure at night were associated with cerebral microhemorrhage. Multivariate regression analysis showed that 24 h mean systolic blood pressure was associated with intracerebral microhemorrhage. Conclusion 24 h mean systolic blood pressure is an important factor of cerebral microhemorrhage in patients with ischemic stroke and hypertension.
【作者单位】：中国人民解放军陆军总医院神经内科;北京泰康燕园康复医院;安徽医科大学陆军总医院临床学院;
【分类号】：R743.3;R544.1

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