急性主动脉夹层患者入院时血压与预后的关系研究  

The relationship between admission blood pressure and prognosis in patients with acute aortic dissection

作　　者：贺华平 彭文[1] 柴湘平[1] 张宏亮[1] 周阳 蔡羽中[1] HE H ua-ping, PENG Wen, CHAI Xiang-ping, ZHANG Hong-liaag, ZHOU Yang, CAI Yu-zhong.(Emergency Department, The Second Xiangya Hospital of Central South University; Emergency medicine and difficult disease institute of Central South Universit)

机构地区：[1]中南大学湘雅二医院急诊医学科中南大学急诊医学及疑难病研究所

出　　处：《实用休克杂志（中英文）》2018年第1期28-30,共3页Journal of Practical Shock

基　　金：国家自然科学基金(81471896)

摘　　要：【摘要】目的研究急性主动脉夹层患者入院时血压水平与预后的关系。方法收集本院2015年1月1日至2016年12月31日住院并确诊为急性主动脉夹层患者747例，根据入院时血压水平分为3组：A组：低血压组，B组：正常血压组，C组：高血压组。分别观察各组患者主动脉夹层例数、性别、分型、既往高血压、吸烟史、饮酒史、治疗方法及住院期间病死率。结果3组患者的院内病死率的差异有显著性（P=0．000），其中A组病死率最高，为50％，C组病死率最低，为16％。结论主动脉夹层患者入院时血压与预后存在相关性，入院时血压低于正常者院内死亡风险更大。Objective To study the relationship between admission blood pressure and prognosis in patients with acute aortic dissection （AAD）. Methods From January 2015 to December 2016, a total of 747 in-hospital patients with AAD were enrolled in the study. We divided them into three groups according to the admission blood pressure： group A： Hypotension; group B： Normal blood pressure; group C： Hyperten- sion. Analysis of variance were performed to identify the mortality during hospitalization between the three groups. Results There were significant differences in mortality among the 3 groups （P=0. 000） , the high- est mortality was found in Group A （50%） and lowest in Group C （ 16% ）. Conclusions Admission blood pressure was correlated with prognosis in patients with AAD, and the risk of death in-hospital was higher in patients with hypotension at admission.

关 键 词：主动脉夹层 血压 预后 

分 类 号：R543.1[医药卫生—心血管疾病]