Analysis of Risk Factors Affecting the Increase of Systolic Blood Pressure Variability in Acute Phase in Patients with Stereotactic Minimally Invasive Puncture Catheter Drainage
LENG Xiaoli, LI Lin, LIANG Yahong
Chinese People's Liberation Army West War Zone Air Force Hospital, Sichuan Chengdu 610061, China
Abstract：Objective:To study the risk factors for the increase of systolic blood pressure variability(SBPV)in acute phase in patients with stereotactic minimally invasive puncture catheter drainage. Methods: 200 patients with hypertensive intracerebral hemorrhage (HICH) who underwent stereotactic minimally invasive puncture catheter drainage in the hospital from January 2014 to December 2017 were included in the study.According to whether there was increased SBPV in acute phase, they were divided into increased SBPV group(n=102)and smaller SBPV group(n=98).The general data and blood biochemical indicators were compared between the two groups,and the independent risk factors affecting the increase of SBPV in acute phase were analyzed. Results: There were no significant differences between increased SBPV group and smaller SBPV group in terms of gender,age,smoking history,drinking history,history of stroke,history of diabetes,history of hypertension,regular use of antihypertensive drugs and dehydration and antihypertensive drugs(P>0.05),and there were significant differences in the NIHSS score and intracranial hematoma volume at admission and first SBP value at admission between the two groups(P<0.05).There were significant differences in the levels of urinary nitrogen,creatinine,total cholesterol,triglyceride and apolipoprotein between increased SBPV group and smaller SBPV group(P<0.05),and there was no significant difference in the level of low-density lipoprotein between the two groups(P>0.05).Logistic regression analysis indicated that the first SBP,NIHSS score,intracranial hematoma volume and triglyceride were independent risk factors for the increase of SBPV in acute phase of patients with stereotactic minimally invasive puncture catheter drainage. Conclusion: Clinically,the blood pressure of patients with higher NIHSS scores and higher SBP levels at admission should be actively monitored,and antihypertensive treatment should be done.It is recommended that patients with hypertension should pay attention to healthy diet,maintain normal lipid metabolism,and prevent the increase of SBPV in acute phase.
2019, Vol. 25 
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