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在急性缺血性中风患者的机械血栓切除术后,血压变化和短期结果

Jiping Zhou¹, Heba Samara², Ali Ebrahim³

¹Department of Neurology, Wayne State University/Detroit Medical Center, Detroit, MI, USA.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

|June 2, 2023

概括

在急性缺血性中风的机械血栓切除术后,高血压的变化与较差的结果有关. 平均动脉压可以预测这些患者的功能预后.

科学领域:

神经学神经学
心脏病学心脏病学
关键护理医学关键护理医学

背景情况:

机械血栓切除术 (MT) 是急性缺血性中风 (AIS) 与大血管封闭 (LVO) 的关键治疗方法.
关于MT后血压 (BP) 控制对LVO的AIS患者短期临床结果的影响的数据有限.

研究的目的:

调查MT后血压变化与LVO的AIS患者早期中风结局之间的关联.
评估血压变化和平均动脉压 (MAP) 在预测短期功能预后方面的作用.

主要方法:

对接受MT的LVOAIS患者进行了回顾性研究.
在MT后24小时和48小时内分析每小时的BP数据.
血压变化量化通过四分位数间范围 (IQR);有利的结果定义为修改的兰金尺度 (mRS) 0-3.

主要成果:

在MT后24小时内增加的缩血压 (SBP) IQR与有利的结果 (OR 0.43) 相反相关.
在MT后24小时内增加的中位数MAP与有利的结果相关 (OR1.75).
高SBP变异性显示与有利的结果的反向关联,即使在成功重血管化的患者中也是如此.

结论:

在LVO的AIS患者中,MT后SBP变异性升高与较差的短期结果有关.
MAP可以作为MT后功能恢复的预后指标.
优化MT后的BP管理对于改善患者结果至关重要.

关键词:

血压血压血压血压缺血性中风是因为缺血性中风.机械血栓切除术是一种机械血栓切除术.结果的结果.可变性的变化.

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