Corredera E, Castillo J, Naveiro J, Flores J M, Sesar A, Noya M
Servicio de Neurología, Hospital Xeral de Galicia-Complexo Hospitalario Universitario, Santiago de Compostela.
Rev Neurol. 1996 Feb;24(126):187-9.
We studied the prognostic influence and evolution of blood pressure during the acute phase of stroke in 89 patients (50 men and 39 women) with an average age of 69.4 +/- 10.8 years. Seventy-two were diagnosed as having ischaemic infarct and 17 as having spontaneous intracerebral haemorrhage. Blood pressure was taken every four hours for twelve days. Clinical situation was evaluated using the Rankin scale. Systolic and diastolic blood pressure progressively decreased without needing any medication in the first two weeks of evolution. The decrease was greatest in hypertense patients and in those with left ventricle hypertrophy. We found the initial figures for systolic and diastolic blood pressure significantly higher in those patients with brain infarct who had not died and in those in a better functional position the second week of evolution. Blood pressure did not influence the prognosis of intracerebral haemorrhage patients.
我们研究了89例平均年龄为69.4±10.8岁的中风急性期患者（50名男性和39名女性）血压的预后影响及变化情况。其中72例被诊断为缺血性梗死，17例为自发性脑出血。在12天内每4小时测量一次血压。使用Rankin量表评估临床情况。在病程的前两周，收缩压和舒张压无需任何药物治疗便逐渐下降。高血压患者和左心室肥厚患者的血压下降幅度最大。我们发现，在病程第二周仍存活且功能状态较好的脑梗死患者中，其收缩压和舒张压的初始数值显著更高。血压对脑出血患者的预后没有影响。
