[摘要] 目的 探讨重型颅脑外伤患者早期血压变异性与近期预后的关系。方法 随机选取2013年1月—2016年1月两院收治的100例GCS评分为3～8分的重型颅脑外伤患者为研究对象，观察伤后72 h内患者血压参数和变异系数。随访6个月，依患者GOS评分将入选病例均为两组。实验组50例，患者GOS评分1～3分；对照组50例，患者GOS评分4～5分，分析影响严重颅脑外伤患者预后的血压变异性因素。结果 实验组72 h SBP-SD(9.3±2.2)mmHg， SBP-CV(0.05±0.01)，对照组72 h SBP-SD(17.4±6.0)mmHg，SBP-CV(0.18±0.03)，组间比较差异有统计学意义(P<0.05)。结论 重型颅脑外伤患者伤后72 h内收缩压血压标准差和变异系数过高是影响近期预后的危险因素。

    [关键词] 重型颅脑外伤；血压变异性；近期预后

    [中图分类号] R651 [文献标识码] A [文章编号] 1674-0742(2017)02(b)-0039-03

    [Abstract] Objective To discuss the correlation between the early blood pressure variability and short-term prognosis of patients with severe craniocerebral injury. Methods Random selection 100 cases patients with severe craniocerebral injury whose GCS score was 3 to 8 admitted and treated in our hospital from January 2013 to January 2016 were selected as the research objects and the blood pressure parameters and variability coefficient of patients within 72h after wound were observed ......