中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
17期
8-10
,共3页
缺铁性脑卒中%不同病因%血压变异
缺鐵性腦卒中%不同病因%血壓變異
결철성뇌졸중%불동병인%혈압변이
Ischemic stroke%Different etiologies%Blood pressure variability
目的探讨不同病因型缺血性脑卒中血压变异性。方法选择250例急性缺血性脑卒中患者为研究对象，根据病因类型随机分为大动脉粥样硬化血栓形成（AT）组91例，小动脉闭塞（SAD）组69例，心源性栓塞（CE）组90例，另选择同期健康对照组250例。通过24 h 动态血压仪监测各组24 h 动态血压和血压变异性。结果与对照组比较，AT 组、SAD 组、CE 组患者的24 h 、白昼和夜间平均舒张压和平均收缩压以及血压变异性差异均具有统计学意义（P＜0.05）；与 CE 组比较， AT 组、SAD 组患者24 h 、白昼和夜间平均舒张压和平均收缩压以及血压变异性差异均具有统计学意义（P＜0.05）；AT 组、SAD 组、CE 组的血压昼夜频率分布与对照组比较，差异有统计学意义（P＜0.05）；AT 组、SAD 组与 CE 组比较，血压昼夜频率分布差异均有统计学意义（P＜0.05）。 AT 组与 SAD 组比较，差异无统计学意义（P＞0.05）。结论急性缺血性脑卒中患者的平均血压及血压变异性与健康对照组相比差异均具有统计学意义，大动脉粥样硬化血栓形成型及小动脉闭塞型均较心源性栓塞型血压变异性明显增强。
目的探討不同病因型缺血性腦卒中血壓變異性。方法選擇250例急性缺血性腦卒中患者為研究對象，根據病因類型隨機分為大動脈粥樣硬化血栓形成（AT）組91例，小動脈閉塞（SAD）組69例，心源性栓塞（CE）組90例，另選擇同期健康對照組250例。通過24 h 動態血壓儀鑑測各組24 h 動態血壓和血壓變異性。結果與對照組比較，AT 組、SAD 組、CE 組患者的24 h 、白晝和夜間平均舒張壓和平均收縮壓以及血壓變異性差異均具有統計學意義（P＜0.05）；與 CE 組比較， AT 組、SAD 組患者24 h 、白晝和夜間平均舒張壓和平均收縮壓以及血壓變異性差異均具有統計學意義（P＜0.05）；AT 組、SAD 組、CE 組的血壓晝夜頻率分佈與對照組比較，差異有統計學意義（P＜0.05）；AT 組、SAD 組與 CE 組比較，血壓晝夜頻率分佈差異均有統計學意義（P＜0.05）。 AT 組與 SAD 組比較，差異無統計學意義（P＞0.05）。結論急性缺血性腦卒中患者的平均血壓及血壓變異性與健康對照組相比差異均具有統計學意義，大動脈粥樣硬化血栓形成型及小動脈閉塞型均較心源性栓塞型血壓變異性明顯增彊。
목적탐토불동병인형결혈성뇌졸중혈압변이성。방법선택250례급성결혈성뇌졸중환자위연구대상，근거병인류형수궤분위대동맥죽양경화혈전형성（AT）조91례，소동맥폐새（SAD）조69례，심원성전새（CE）조90례，령선택동기건강대조조250례。통과24 h 동태혈압의감측각조24 h 동태혈압화혈압변이성。결과여대조조비교，AT 조、SAD 조、CE 조환자적24 h 、백주화야간평균서장압화평균수축압이급혈압변이성차이균구유통계학의의（P＜0.05）；여 CE 조비교， AT 조、SAD 조환자24 h 、백주화야간평균서장압화평균수축압이급혈압변이성차이균구유통계학의의（P＜0.05）；AT 조、SAD 조、CE 조적혈압주야빈솔분포여대조조비교，차이유통계학의의（P＜0.05）；AT 조、SAD 조여 CE 조비교，혈압주야빈솔분포차이균유통계학의의（P＜0.05）。 AT 조여 SAD 조비교，차이무통계학의의（P＞0.05）。결론급성결혈성뇌졸중환자적평균혈압급혈압변이성여건강대조조상비차이균구유통계학의의，대동맥죽양경화혈전형성형급소동맥폐새형균교심원성전새형혈압변이성명현증강。
Objective To investigate blood pressure variability in different etiological subtype of ischemic stroke. Methods 250 cases with acute ischemic stroke were selected as research objects ,which were randomly divided into large artery athero‐sclerosis thrombosis (AT ) group (n= 91) ,small artery occlusion (SAD) group (n= 69) ,cardiogenic embolism (CE) group (n= 90) according to different etiological subtype of ischemic stroke. At the same time ,250 healthy cases were chosen as control group. 24‐hour ambulatory blood pressure and blood pressure variability were monitored. Results Compared with the control group ,the mean systolic ,mean diastolic and mean blood pressure variability of 24‐hour ,daytime and nighttime in AT group , SAD group ,CE group showed significant difference (P< 0.05) ,and AT group ,SAD group showed significant difference com‐pared with CE group (P< 0.05). The circadian frequency distribution of AT group ,SAD group and the CE group control group indicated significant difference (P< 0.05) compared with the control group ;and comparing AT group ,SAD group and the CE group ,the difference in term of the frequency distribution was statistically significant (P< 0.05) ;while the difference was not statistically significant (P> 0.05) between the AT group and the SAD group. Conclusion The average blood pressure and blood pressure variability show significant difference in patients with acute ischemic stroke compared with the healthy con‐trols. Compared with cardiogenic embolism ,blood pressure variability in the subtypes of large artery atherosclerosis thrombosis and small vessel occlusion enhances considerably.
