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目的 探讨急性脑卒中患者中脑出血与脑梗死患者早期血压动态血压变化的规律。方法 78例急性脑卒中患者中脑出血 32例 ,脑梗死 46例 ,并以 45例Ⅰ期高血压患者为对照组 ,对全部患者住院第 1天均行 2 4h动态血压监测。结果 脑出血组与脑梗死组平均收缩压及舒张压均较对照组升高 ,差异有显著性 (P <0 .0 5 ) ,其血压昼夜节律变化均明显异常。结论 血压的动态变化与脑卒中的类型有关 ,与靶器官的损害密切相关
Objective To investigate the changes of ambulatory blood pressure (BP) in patients with cerebral apoplexy and cerebral infarction during acute stroke. Methods A total of 78 acute cerebral apoplexy patients with cerebral hemorrhage in 32 cases and 46 cerebral infarction patients were enrolled in this study. Forty-five patients with stage I hypertension were enrolled in this study. All patients were enrolled on the first day of hospitalization for ambulatory blood pressure monitoring for 24 hours. Results The average systolic pressure and diastolic pressure of cerebral hemorrhage group and cerebral infarction group were significantly higher than those of control group (P <0.05). The changes of circadian rhythm of blood pressure were obviously abnormal. Conclusion The dynamic changes of blood pressure are related to the type of stroke and are closely related to the target organ damage