CAJ | 학술논문

目的：：研究动态血压脉压指数(PPI)和收缩压变异性(SBpV)对缺血性脑卒中的影响。方法：208例高血压患者接受24 h动态血压监测(ABpM)和颅脑CT及MRI平扫,计算PPI,并以PPI≥0.40和SBpV标准差(SBpV-SD)≥12 mmHg为基数,进行统计处理。结果：缺血性脑卒中90例,总发生率43.27%。 PPI≥0.40、SBpV-SD≥12 mmHg、PPI≥0.40且SBpV-SD≥12 mmHg脑卒中发生率均明显高于PPI<0.40、SBpV-SD<12 mmHg、PPI<0.40且SBpV-SD≤12 mmHg的患者(P<0.01)。结论：24 h ABpM中PPI≥0.40和SBpV-SD≥12 mmHg是预测高血压患者缺血性脑卒中的重要指标。
목적：：연구동태혈압맥압지수(PPI)화수축압변이성(SBpV)대결혈성뇌졸중적영향。방법：208례고혈압환자접수24 h동태혈압감측(ABpM)화로뇌CT급MRI평소,계산PPI,병이PPI≥0.40화SBpV표준차(SBpV-SD)≥12 mmHg위기수,진행통계처리。결과：결혈성뇌졸중90례,총발생솔43.27%。 PPI≥0.40、SBpV-SD≥12 mmHg、PPI≥0.40차SBpV-SD≥12 mmHg뇌졸중발생솔균명현고우PPI<0.40、SBpV-SD<12 mmHg、PPI<0.40차SBpV-SD≤12 mmHg적환자(P<0.01)。결론：24 h ABpM중PPI≥0.40화SBpV-SD≥12 mmHg시예측고혈압환자결혈성뇌졸중적중요지표。
Objective:To study the clinical effects of the pulse pressure index( PPI) and systolic blood pressure variability( SBpV) on the patients with ischemic stroke. Methods:The 24-hours ambulatory blood pressure monitor( ABpM) in 208 patients with hypertension were implemented,and all patients were scaned with brain CT or MRI. The PPI was calculated and analyzed on the basis of PPI≥0. 40 and systolic blood pressure standard deviation(SBpV-SD)≥12 mmHg. Results:The total incidence of the ischemic stroke was 43. 27%(90 cases). PPI≥0. 40,SBpV-SD≥12 mmHg,PPI≥0. 40 and SBpV-SD≥12 mmHg,the incidence of the ischemic stroke of which was significantly higher that of patients with PPI<0. 40,SBpV-SD<12 mmHg and PPI<0. 40 complicated with SBpV-SD≤12 mmHg (P<0. 01). Conclusions:During the 24-hours ABpM,the PPI≥0. 40 and SBpV-SD≥12 mmHg is an important indicator in predicting the ischemic stroke.