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目的 :本研究采用动态血压监测方法观察了 1 2 1例高血压病患者动态血压的变化 ,旨在说明两组高血压病患者动态血压参数的差异。方法 :组 1 :5 8例合并脑血管病患者 ;组 2 :63例无脑血管病患者。结果 :两组患者 2 4h收缩压均值、血压变异性、血压昼夜节律均有显著差异。昼间两组收缩压负荷值有显著差异 ,夜间两组收缩压负荷值无显著差异 ,两组昼间和夜间舒张压负荷值均无显著差异。高血压脑血管病男女患者间动态血压参数无显著差异。结论 :2 4h血压平均水平升高特别是收缩压水平升高、血压波动明显 ,与脑血管病的发生有着直接关系 ,也是脑血管病发生的危险因素。有效地控制 2 4h血压特别是夜间血压、老年人收缩期血压、减小血压波幅是防止和延缓脑血管病发生的关键
Objective: In this study, ambulatory blood pressure monitoring method was used to observe the changes of ambulatory blood pressure in 121 cases of hypertensive patients, in order to illustrate the difference of ambulatory blood pressure parameters between the two groups. Methods: Group 1: 58 patients with cerebrovascular disease; Group 2: 63 patients without cerebrovascular disease. Results: 24 h systolic blood pressure, blood pressure variability, blood pressure circadian rhythm were significantly different between the two groups. Daytime systolic blood pressure was significantly different between the two groups, no significant difference in the value of systolic blood pressure at night between the two groups, daytime and nighttime diastolic blood pressure load values were no significant differences. There was no significant difference in ambulatory blood pressure parameters between male and female patients with hypertensive cerebrovascular disease. CONCLUSION: The average blood pressure level, especially systolic blood pressure level, and blood pressure fluctuations fluctuate significantly at 24 hours, which is directly related to the occurrence of cerebrovascular disease and also a risk factor for cerebrovascular disease. Effective control of 2 4 h blood pressure, especially nocturnal blood pressure, systolic blood pressure in the elderly, reduce the amplitude of blood pressure is the key to prevent and delay the occurrence of cerebrovascular disease