1周血压变化的规律

One-week Blood Pressure Changes Rhythm

目的探讨也门亚丁人人体血压1周动态节律(周节律)的存在及其在临床中的作用。方法对29例健康人和高血压病患者进行1周动态血压监测(ABPM);另外对58例高血压合并急性脑卒中患者的发病时间进行统计。结果健康人和高血压病患者血压的1周波动多呈双峰双谷型,模式为周六为第1个高峰,周二或周三血压为第2个高峰,周五为最低值。高血压病患者周节律更为明显。血压1周节律性波动与急性脑卒中患者发病时间基本一致。结论也门亚丁人人体动态血压存在周节律,急性脑卒中患者1周发病时间规律与血压周节律密切相关,血压高峰日的发现对预防也门亚丁人的高血压及其并发症具有重要意义。

Objective To study one-week BP changes rhythms and its clinical significance in people in Aden Yemen. Methods One-week ambulatory blood pressure monitoring （ABPM） was performed in healthy subjects （n=29） and patients with hypertention （n=15）. The incidence of acute stroke on corresponding weekdays in 70 hypertensive patients was analyzed. Results The ABP changes in one week in both healthy and hypertensive objects had two troughs （Monday and Friday） and two peaks （Saturday and Wednesday）. The fluctuation of blood pressure in a week in hypertensive patients was greater than that in controls. The prevalence of stroke events on weekdays was related to the week rhythm of ABPM. Conclusion Rhythmic alteration was detected in a week. The incidence of stroke attack in one week was manifested in correlated with week rhythms of ABPM. Blood pressure peak days may have important clinical significance in preventing hypertension and its complications.