熊明

【摘要】目的：探讨老年高血压患者血压变异性与脑出血的关系，加强对老年高血压患者脑出血的预防。方法：将来我院就诊的67例老年高血压患者依据有无脑出血病史分为两组，其中观察组共有患者33例，对照组共有患者34例，两组患者的年龄、家族病史、病情等各项数据差异比较无统计学意义（P>0.05），具有可比性，然后利用无创便携式血压监测仪对两组患者的血压变化进行全天候检测，观察和比较两组患者日间和夜间的血压差异性，分析两组患者日间和夜间的血压变异性。结果：观察组中33例有脑出血病史的患者日间和夜间的血压变化幅度较大，组内差异比较有统计学意义（P<0.05），而对照组34例无脑出血病史的高血压患者的日间和夜间血压的变化幅度较小，组内差异比较无统计学意义（P>0.05）。结论：老年高血压患者的血压变异性与脑出血有密切关系，因此可以通过减小老年高血压患者的日间和夜间血压的变化幅度来预防脑出血的发生。

【关键词】老年高血压患者；脑出血；血压变化

Abstract Objective： To explore the relationship between blood pressure variability and cerebral hemorrhage in order to prevent cerebral hemorrhage in elderly patients with hypertension. Methods： Choosed 67 patients to divide into 2 groups according to history of cerebral hemorrhage， 33 patients with history of cerebral hemorrhage are in study group and 34 patients without history are in controlled group. The difference of age， family history and pathogenetic condition in two groups were no statistical significance（P>0.05）. Then measured blood pressure of two groups all day by non-invasive portable blood pressure monitors， Observed， compared and analysed blood pressure variability between day and night.Results： The varied range of blood pressure between day and night in study group was large and the difference was statistically significant（P<0.05）， while the controlled group was small and the difference was not statistically significant（P>0.05）. Conclusion： Blood pressure variability is closely related to cerebral hemorrhage， so we can decrease the varied range of blood pressure between day and night to prevent cerebral hemorrhage in elderly patients with hypertension.

Key words： elderly patients with hypertension， cerebral hemorrhage， blood pressure variability

隨着来人们生活条件的改善，高血压的发病率却越来越高，很容易引起脑出血等并发症的发生。脑出血作为一种常见的脑部血管性疾病，具有突发性强、发病原因多、病情严重等特点[1]。脑出血在临床中的表现多为剧烈头疼、意识障碍、恶心呕吐等，严重的可能会引起肢体瘫痪，由于脑出血其发病很快、病情较重、发病原因也各有不同，在治疗时难度较大，因此致残、致死率较高。关于脑出血的致病原因十分复杂，其中血压的变化就是一个重要因素。所以，了解高血压患者血压变异性与脑出血的关系，对于防止和治疗脑出血具有重要意义。笔者……