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目的:观察老年脑卒中患者急性期血压及相关因素,探讨其与6个月预后的关系。方法:老年脑卒中患者275例,连续记录入院后7 d的血压,在发病后6个月时评价预后(远期预后),对急性期血压及相关因素进行单因素和多因素Logistic回归分析。结果:Logistic回归分析显示年龄>76岁,入院NIHSS评分>7分,急性期平均收缩压≥200mm Hg,急性期平均舒张压≥100 mm Hg是老年脑卒中患者6个月预后的危险因素;坚持康复锻炼是老年脑卒中患者6个月预后的保护因素。结论:老年脑卒中急性期收缩压≥200 mm Hg、舒张压≥100 mm Hg、高龄以及NIHSS评分愈高提示预后不良,积极康复锻炼可改善远期(6个月)预后。
OBJECTIVE: To observe the blood pressure and its related factors in elderly stroke patients and explore the relationship between them and the 6-month prognosis. Methods: A total of 275 elderly patients with stroke were enrolled in this study. Blood pressure was recorded continuously for 7 days after admission. The prognosis was evaluated at 6 months after onset (long-term prognosis). Single-factor and multivariate Logistic regression analyzes were performed on the blood pressure and related factors in acute phase. Results: The Logistic regression analysis showed that the NIHSS score> 7 on admission, the average systolic blood pressure in the acute phase ≥ 200 mm Hg and the average diastolic blood pressure ≥ 100 mm Hg in the acute phase were the risk factors of 6-month prognosis in elderly stroke patients. Rehabilitation exercise is a protective factor for 6-month prognosis in elderly stroke patients. CONCLUSIONS: The systolic blood pressure in the elderly with acute stroke is ≥ 200 mm Hg and diastolic blood pressure ≥ 100 mm Hg. The higher the elderly and NIHSS score, the worse the prognosis. The positive rehabilitation exercise can improve the long-term (6-month) prognosis.