老年高血压的动态血压监测

Analysis of Ambulatory Blood pressure in the Elderly Hypertensive Patients

对60例老年高血压病患者(Ⅰ期24例,Ⅱ期21例、Ⅲ期15例)、30例健康老年人、30例健康中青年分别进行动态血压监测和比较。结果老年对照组动态血压监测各参数值均明显高于中青年对照组;高血压Ⅰ、Ⅱ、Ⅲ期各组与老年对照组比较各参数值也明显增高。如以老年对照组各项参数的(?)±2s为正常高限,则高血压Ⅰ、Ⅱ、Ⅲ期各组分别有9、13、15项数值超过正常。其中以24小时平均收缩压和舒张压日间平均收缩压和舒张压、夜间平均收缩压和舒张压及血压负荷值等为诊断动态高血压的重要指标。

Sixty elderly hypertensive patients(l stage 24 cases, 2 stage 21 cases.3 stage 15 cases), 30 healthy elderly controls, and 30 healthy young controls separately underwent 24-hour ambulatory blood presssure monitoring (ABPM). Result showedall parameters of ABPM in the healthy elderly control group were significantly higher than those in the healthy young control group; but all parameters of ABPM in the groups of hypertension 11.2.3. stage were significantly higher than those in the healthy elderly control group. If the parameters of a mean plus two standard deviation in the healthy elderly control group were considered normal range, there were 9 items, 13 items, 15 items of parameters above normal in the groups of hypertension 1.2.3. stage separately. The 24-hour SBP, and DBP, day SBP and DBF, night SBP and DBP, and blood pressure load serve as important parameters for diagnosis of ambulatory high blood pressure (AHBP).