首页|急性缺血性脑卒中患者机械取栓治疗后血压异常升高与不良预后的相关性分析

急性缺血性脑卒中患者机械取栓治疗后血压异常升高与不良预后的相关性分析

扫码查看
目的 分析急性缺血性脑卒中患者机械取栓治疗后血压异常升高与不良预后的相关性.方法 80例急性缺血性脑卒中患者在完成机械取栓治疗后24 h内均测量其收缩压与舒张压.根据平均收缩压水平将患者分为A组、B组、C组.比较三组的血压及不良预后风险,并分析血压与预后的相关性.结果 C组收缩压、舒张压、平均动脉压最大值与最小值均高于A组与B组(P<0.05).C组术后90 d预后不良率、术后24 h内症状性颅内出血率均高于A组与B组(P<0.05).血压各指标水平均与不良预后风险呈明显正相关(P<0.05).结论 急性缺血性脑卒中患者机械取栓治疗后多存在血压异常升高现象,通过准确实时测量血压水平可明确患者不良预后风险,为后续治疗方案制定与改善提供数据支持.
Analysis on Correlation between Abnormal Rise of Blood Pressure and Poor Prognosis in Patients with Acute Ischemic Stroke after Mechanical Thrombectomy
Objective To analyze the correlation between abnormal rise of blood pressure and poor prognosis in patients with acute ischemic stroke after mechanical thrombectomy.Methods The systolic and diastolic blood pressure of 80 patients with acute ischemic stroke were measured within 24 hours after mechanical thrombectomy,and all patients were divided into group A,group B and group C according to the average systolic blood pressure.The blood pressure and risk of adverse prognosis were compared among the three groups.The correlation between blood pressure and prognosis was analyzed.Results The maximum and minimum values of systolic blood pressure,diastolic blood pressure and mean arterial pressure in group C were higher than those in groups A and group B(P<0.05).The poor prognosis rate of 90 days after surgery and symptomatic intracranial hemorrhage rate within 24 hours after surgery in group C were higher than those in group A and group B(P<0.05).All blood pressure indicators were positively correlated with the risk of adverse prognosis(P<0.05).Conclusions Abnormal increase of blood pressure is common in patients with acute ischemic stroke after mechanical thrombectomy.Accurate and real-time measurement of blood pressure can clarify the risk of adverse prognosis of patients,and provide data support for the formulation and improvement of follow-up treatment.

Acute ischemic strokeMechanical thrombectomyBlood pressurePoor prognosisCorrelation

林晓丽、魏国平

展开 >

南平市第一医院神经内科,福建南平 353000

急性缺血性脑卒中 机械取栓 血压 不良预后 相关性

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
  • 8