Watanabe M, Miura T, Ito H, Mano K, Watanabe H
Department of Neurology, Nagoya the First Red Cross Hospital.
Rinsho Shinkeigaku. 1996 Nov;36(11):1221-4.
Change of blood pressure was analysed after loading of 90 degrees head-up tilting for 10 minutes in patients with Binswanger-type infarction to clarify the hemodynamic disorder of this disease. In 79 controls (mean age; 70. 1 years), systolic and diastolic blood pressures on standing were higher than those of the supine position, respectively. There was no difference in orthostatic change of blood pressure between the controls and patients with lacunar infarction (40 cases, mean age; 66.1 years). On the other hand, in patients with Binswanger-type infarction (29 cases, mean age; 67.8 years), blood pressure tended to show a marked decrease after standing, especially in the male. Systolic blood pressure was generally lower than that of the supine position while standing. It is suggested that the fall of blood pressure on standing would play an etiological or deteriorative role in this disease.
为明确宾斯旺格型梗死患者的血流动力学紊乱情况，对90度头高位倾斜10分钟后的血压变化进行了分析。在79名对照组患者（平均年龄70.1岁）中，站立时的收缩压和舒张压分别高于仰卧位时。对照组与腔隙性梗死患者（40例，平均年龄66.1岁）之间的血压直立性变化无差异。另一方面，在宾斯旺格型梗死患者（29例，平均年龄67.8岁）中，站立后血压往往显著下降，尤其是男性。站立时收缩压一般低于仰卧位时。提示站立时血压下降在本病的病因或病情恶化中起作用。
