腔隙性脑梗死在原发性高血压患者危险分层中的意义

摘要

Objective: To study the significance of lacunar infarction in the risk stratification of essential hypertension. Methods: 214 patients with essential hypertension were divided into CLI group (lacunar infarction group), ACC group (related clinical conditions group) and TOD group (target organ damage group), then the damage degree of heart, renal and fundus of the three groups were compared. Results: The damage degree of heart, renal and fundus between CLI group and ACC group showed significant difference (ρ＜0.01), the damage degree of heart, renal and fundus between CLI group and TOD group showed no significant difference (ρ＞0.05). Conclusion: The lacunar infarction is index of risk stratification of essential hypertension, it shows the damage of heart, renal and fundus, the degree is similar to TOD, and should be the classification of TOD.%目的:探讨腔隙性脑梗死在原发性高血压危险分层中的意义.方法:241例原发性高血压患者被分为CLI组(腔隙性脑梗死组)、ACC组(相关临床情况组)和TOD组(靶器官损害组),比较三组间心、肾、眼底损害程度.结果:CLI组与ACC组间的心、肾及眼底损害程度比较,差异有统计学意义(P＜0.01),CLI组与TOD组比较,差异无统计学意义(P＞0.05).结论:腔隙性脑梗死作为原发性高血压危险分层中的指标,提示患者出现心、肾、眼底损害,其程度与TOD组相似,宜归为TOD组.