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目的 探讨急性脑卒中后动态血压变化及其与预后的关系。方法 由专人 (同一人 )负责对 5 5例急性脑卒中患者进行了第 1及第 7天动态血压的监测 ,同时评定第 1、第 7天及第 30天神经功能评分及病残程度分级。结果 脑卒中后增高的血压在 7天后 ,在无特殊降压措施条件下 ,无论是随测血压 ,还是动态血压均自发下降。生活基本自理组 (0～Ⅲ )和生活依赖组 (Ⅳ～Ⅶ )脑卒中后增高的血压无明显差异性。结论 脑卒中急性期血压存在自发下降趋势 ,脑卒中急性期血压的治疗需采取慎重、合理、个体化治疗
Objective To investigate the changes of ambulatory blood pressure after acute stroke and its relationship with prognosis. Methods Fifty-five patients with acute stroke were monitored on ambulatory blood pressure on day 1 and day 7 by the same person (same person), and the neurological function scores and the degree of disability were assessed on the 1st, 7th and the 30th day. Results After stroke, the elevated blood pressure decreased spontaneously after 7 days, no matter with measuring blood pressure or ambulatory blood pressure. The basic self-care group (0 ~ Ⅲ) and dependent group (Ⅳ ~ Ⅶ) increased blood pressure after stroke was no significant difference. Conclusions There is a spontaneous decline tendency of blood pressure in the acute stage of stroke. The treatment of acute stroke need to take prudent, reasonable and individualized treatment