不同类型脑梗死患者急性期血压调控对预后的影响(1)
【摘要】 目的：探讨不同类型脑梗死患者急性期血压调控对预后的影响。方法：将162例脑梗死急性期患者随机分为对照组(n=95)与干预组(n=67)，对照组患者均常规应用阿司匹林、钙拮抗剂，并辅以胞二磷胆碱进行对症支持性治疗，干预组在对照组基础上采用药物进行降血压治疗，使患者入院1 d内的血压下降至160/100 mm Hg内，采用NIHSS评分、Barthel Index评分及改良Rankin评分比较两组患者入院时、治疗第1周、治疗半年及治疗1年时的评分情况。结果：干预组治疗第1周的Barthel Index评分为(46.3±12.8)分，显著低于对照组的(49.1±13.3)分，差异有统计学意义(P<0.05)；干预组治疗半年及1年后的NIHSS评分、Barthel Index评分及改良Rankin评分显著低于对照组同期水平(P<0.05或P<0.01)；干预组治疗1周后的TACI、PACI、POCI型Barthel Index评分均显著低于对照组水平(P<0.05)；治疗1周后TACI型的改良Rankin显著高于对照组(P<0.05)；治疗半年后LACI、TACI、PACI、POCI的Barthel Index评分显著低于对照组(P<0.05或P<0.01)；治疗半年后TACI、PACI型的NIHSS评分显著高于对照组(P<0.05或P<0.01)。结论：脑梗死急性期早期进行降血压治疗预后效果往往不良。
, 百拇医药
【关键词】 OCSP； 脑梗死； 急性期； 血压调控； 预后
Efficacy of Acute Blood Pressure Regulation Treat for Different Types Cerebral Infarction Prognosis/CHEN Feng，PENG Mu-li，LIANG Guo-hua，et al.//Medical Innovation of China，2015，12(18)：008-011
【Abstract】 Objective：To explore the efficacy of acute blood pressure regulation in different types cerebral infarction prognosis.Method：162 patients with acute cerebral infarction were randomly divided into the control group(n=95) and the intervention group(n= 67).The control group patients patients were treated with routine use of aspirin，calcium antagonists，and supplemented citicoline be symptomatic and supportive treatment.The intervention group were treated with drugs for lowering blood pressure on the basis of the control group.Decreased blood pressure in 160/100 mm Hg in 1 day after admission.The NIHSS score，Barthel Index score and modified Rankin scores were compared at admission，the first week after treatment，six months after treatment and and 1 year after treatment between the two groups.Result：The Barthel Index score at the first week after treatment(46.3±12.8) points vs (49.1±13.3) points in the intervention group were significantly lower than the control group(P<0.05).The NIHSS，Barthel Index score and modified Rankin score at six months after treatment and 1 year after treatment in the intervention group were significantly lower than the same period of the control group(P<0.05 or P<0.01).The Barthel Index scores at the first week after treatment of TACI，PACI，POCI type were significantly lower than those of the control group(P<0.05).The modified Rankin score at the first week after treatment of TACI type was significantly higher than the control group(P<0.05).The Barthel Index scores at six months after treatment of LACI，TACI，PACI，POCI in the intervention group were significantly lower than the same period of the control group(P<0.05 or P<0.01).The NIHSS score at six months after treatment of LACI，TACI，PACI，POCI in the intervention group were significantly higher than the control group(P<0.05 or P<0.01).Conclusion：The efficacy of early Antihypertensive treat for acute cerebral infarction prognosis are poor., 百拇医药(陈锋 彭慕立 梁国华 彭秉纲)
, 百拇医药
【关键词】 OCSP； 脑梗死； 急性期； 血压调控； 预后
Efficacy of Acute Blood Pressure Regulation Treat for Different Types Cerebral Infarction Prognosis/CHEN Feng，PENG Mu-li，LIANG Guo-hua，et al.//Medical Innovation of China，2015，12(18)：008-011
【Abstract】 Objective：To explore the efficacy of acute blood pressure regulation in different types cerebral infarction prognosis.Method：162 patients with acute cerebral infarction were randomly divided into the control group(n=95) and the intervention group(n= 67).The control group patients patients were treated with routine use of aspirin，calcium antagonists，and supplemented citicoline be symptomatic and supportive treatment.The intervention group were treated with drugs for lowering blood pressure on the basis of the control group.Decreased blood pressure in 160/100 mm Hg in 1 day after admission.The NIHSS score，Barthel Index score and modified Rankin scores were compared at admission，the first week after treatment，six months after treatment and and 1 year after treatment between the two groups.Result：The Barthel Index score at the first week after treatment(46.3±12.8) points vs (49.1±13.3) points in the intervention group were significantly lower than the control group(P<0.05).The NIHSS，Barthel Index score and modified Rankin score at six months after treatment and 1 year after treatment in the intervention group were significantly lower than the same period of the control group(P<0.05 or P<0.01).The Barthel Index scores at the first week after treatment of TACI，PACI，POCI type were significantly lower than those of the control group(P<0.05).The modified Rankin score at the first week after treatment of TACI type was significantly higher than the control group(P<0.05).The Barthel Index scores at six months after treatment of LACI，TACI，PACI，POCI in the intervention group were significantly lower than the same period of the control group(P<0.05 or P<0.01).The NIHSS score at six months after treatment of LACI，TACI，PACI，POCI in the intervention group were significantly higher than the control group(P<0.05 or P<0.01).Conclusion：The efficacy of early Antihypertensive treat for acute cerebral infarction prognosis are poor., 百拇医药(陈锋 彭慕立 梁国华 彭秉纲)