探讨缺血性脑卒中和出血性脑卒中患者发病前后的血压变化.docxVIP

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探讨缺血性脑卒中和出血性脑卒中患者发病前后的血压变化

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[摘要]目的研究分析缺血性脑卒中与出血性脑卒中患者发病前后的血压变化差异。方法此次研究的对象是选取2013年6月—2015年6月该院收治的脑卒中患者136例，将其临床资料进行回顾性分析。其中出血性脑卒中69例，缺血性脑卒中67例，采集两组患者卒中发作后的收缩压与舒张压并比较，分析不同亚型脑卒中患者血压的差异性及其临床意义。结果出血性脑卒中患者发作后舒张压与收缩压均显著高于缺血性脑卒中，P0.05，差异具有统计学意义；不同亚型脑卒中患者血压正常比例存在显著差异，并且两组患者各级高血压构成比存在差异，各级高血压致出血性脑卒中发病风险明显高于缺血性脑卒中，P0.05，差异具有统计学意义。结论缺血性脑卒中与出血性脑卒中发病前后血压均存在显著差异，其中高血压对出血性脑卒中的危险度高于缺血性脑卒中，并且出血性脑卒中发病风险随血压分级的增高而增强。?[关键词]出血性脑卒中；缺血性脑卒中；血压变化??[Abstract]ObjectiveToanalyzethedifferenceofbloodpressurebeforeandaftertheonsetofischemicstrokeandhemorrhagicstroke.Methodsthesubjectsofthisstudywere136strokepatientstreatedinthehospitalfromJune2013toJune2015,andtheclinicaldatawereretrospectivelyanalyzed.Ofwhich69casesofhemorrhagicstrokeandischemicstrokein67cases,twogroupswerecollectedaftertheonsetofstrokesystolicbloodpressureanddiastolicbloodpressurewerecompared,thedifferenceanalysisofbloodpressureinpatientswithdifferentsubtypesofstrokeanditsclinicalsignificance.Resultsthepatientswithhemorrhagicstrokeaftertheonsetofdiastolicandsystolicbloodpressureweresignificantlyhigherthanthatofischemicstroke,P0.05,thedifferencewasstatisticallysignificant;thereweresignificantdifferencesinthedifferentsubtypesofstrokepatientswithnormalbloodpressureandtheproportionofpatientsinthetwogroupsatalllevels,proportionofhypertensionaredifferent,differentgradesofhypertensionbleedingriskincidenceofstrokewassignificantlyhigherthanthatoftheischemicbrainstroke,P0.05,thedifferencewasstatisticallysignificant.Conclusionischemicstrokeandhemorrhagicstrokeandbloodpressureweresignificantlydifferent,thehypertensionriskofhemorrhagicstrokeishigherthanischemicstroke,increasedriskofbleedingandincidenceofstrokewithbloodpressureincreased.

Hemorrhagicstroke;ischemicstroke;