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回顾性分析我院2014年2~12月收治的76例老年高血压患者,按有无缺血性脑卒中分为对照组与观察组,各38例。全体患者均接受动态血压监测,统计两组患者脉压、白昼平均收缩压/舒张压,夜间平均收缩压/舒张压、血压昼夜节律。结果观察组患者脉压(82.30±18.55mm Hg)高于对照组(71.30±16.21mm Hg),对比差异有统计学意义(P<0.05),且白昼平均收缩压/舒张压、血压昼夜节律组间对比有显著差异(P<0.05);两组患者夜间平均收缩压/舒张压差异无统计学意义(P>0.05)。脉压升高、血压节律异常与缺血性脑卒中发病存在密切关联,临床可将上述动态血压参数作为临床预测与诊断的参考依据。
A retrospective analysis of 76 cases of elderly hypertensive patients admitted in our hospital from February to December 2014 were divided into control group and observation group according to the presence or absence of ischemic stroke. All patients underwent ambulatory blood pressure monitoring. Pulse pressure, daytime systolic blood pressure / diastolic blood pressure, nighttime average systolic blood pressure / diastolic blood pressure, and circadian blood pressure were measured. Results The pulse pressure (82.30 ± 18.55mm Hg) in observation group was significantly higher than that in control group (71.30 ± 16.21mm Hg), the difference was statistically significant (P <0.05), and the average daytime systolic blood pressure / diastolic blood pressure and blood pressure circadian rhythm group There was a significant difference between the two groups (P <0.05). There was no significant difference in average nighttime systolic blood pressure / diastolic blood pressure between the two groups (P> 0.05). Increased pulse pressure, abnormal blood pressure rhythm and ischemic stroke are closely related to the clinical parameters of the dynamic blood pressure can be used as a clinical prediction and diagnosis of reference.