三种不同病因所致急性缺血性脑卒中血压变异性的比较.docVIP

三种不同病因所致急性缺血性脑卒中血压变异性的比较 　　【摘要】 目的 比较三种不同病因所致急性缺血性脑卒中患者的血压变异性。 　　方法 选择204例急性缺血性脑卒中患者为研究对象，按病因分成甲组（大动脉粥样硬化血栓形成型）108例，乙组（小动脉闭塞型）69例，丙组（心源性栓塞型）27例，同时选择健康体检者204例（健康对照组）作对照，观察三组脑卒中患者的24 h动态血压，并与健康对照组作对照。 　　结果 三组脑卒中患者基数血压均高于健康对照组（P005或0.01）；三组脑卒中患者24 h动态血压各数值（丙组除白昼平均舒张压外）均高于健康对照组（P005或0.01），甲组、乙组平均收缩压、24 h平均舒张压及白昼平均舒张压均高于丙组（P005）；三组脑卒中患者各指标变异性均高于健康对照组（P005或001），甲组、乙组24 h平均收缩压及24 h平均舒张压变异性均高于卒中丙组（P005或001）；三组脑卒中患者血压昼夜节律频率分布与健康对照组比较差异均有统计学意义（P005或0.01），甲组、乙组“非杓型”昼夜节律频率分布与丙组比较差异有统计学意义（P005或0.01）。 　　结论 三种不同病因所致的急性缺血性脑卒中患者的血压变异性大于健康者，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。 　　【关键词】 不同病因；急性缺血性脑卒中；血压变异性 　　中图分类号：R544.1 文献标识码：A 文章编号2014 　　DOI：10.3969/j.issn2014.02.022 　　Comparison of blood pressure variability in patients with acute ischemic stroke of three different etiologies 　　[HJ1*2][HJ] 　　ZHANG Yingliang 　　（Department of Cardiology，the Ninth Peoples Hospital of Nanning，Binyang 530409，Guangxi，China） 　　[HJ1*4][HJ] 　　【Abstract】 Objective To compare blood pressure variability in patients with acute ischemic stroke of three different etiologies. 　　Methods 204 cases of patients with acute ischemic stroke were selected as the research object. They were divided into Group A （artery atherosclerotic thrombosis group，108 cases），Group B （small artery occlusion group，69 cases） and Group C（cardioembolism group，27 cases） according to the etiologies.Meanwhlie，204 heathy people having undergone healthy physical examination were selected as the healthy control group.Then，the 24 h ambulatory blood pressure of the three groups of patients with stroke were observed and were compared with that of the control group. 　　Results The cardinal numbers of blood pressure of the three groups with stroke were all higher than those of the control group（P 　　Conclusion Blood pressure variability of patients with acute ischemics troke with three different etiologies are higher than healthy patients，and patients with artery atherosclerotic thrombosis and small artery oc