Research of Blood Pressure Variability and Neurologic Impairment in Patients with Cerebral Infarction / 医学研究杂志

ABSTRACT

Objective To observe the blood pressure features and blood pressure in patients with acute stage cerebral infarction by dynamic blood pressure monitoring,to investigate the correlation of blood pressure variability (BPV)with nerve function defect degree of cerebral infarction.Methods We selected 236 cases of patients with acute cerebral infarction.According to the scores to patients' verve function defect they were divided into mild group,moderate group,and severe group.At the same time,we chose 90 cases of the cerebral infarction as control group,within 3 days after admission for blood pressure monitoring.Results Patients with cerebral infarction had a lower rate of dipper hypertensives than the non-cerebral infarction group but higher levels of 24hSBP,dSBP,nSBP,nDBP,24hPP,dPP,nPP,morning SBP,morning DBP,dSSD,dDSD,nSSD,MBPS than non-cerebral infarction group (P ＜ 0.05).The former was higher than the later in dipper hypertensives,but lower than the later in morning SBP,M BPS,dSSD,dDSD,nSSD (P ＜ 0.05).Conclusion In the acute phase,the systolic blood pressure,pulse pressure,morning peak blood pressure of cerebral infarction patients increased significantly,the increase of systolic blood pressure was associated with a significant degree of impairment of the cerebral infarction.