摘要
目的:观察24 h动态血压在老年高血压患者中的应用。方法:对2008~2011年内蒙古呼和浩特市第一医院收治的老年高血压230例,原发性132例,继发性98例。给予24 h动态血压监测,观察入院4周、8周24 h平均收缩压(24 h SBP)、24 h平均舒张压(24 h DBP)。白天平均收缩压(dSBP)、夜间平均收缩压(nSBP);白天平均舒张压(dDBP)、夜间平均舒张压(nDBP);白天收缩压负荷值(dSL)、夜间收缩压负荷值(nSL)、白天舒张压负荷值(dDL)、夜间舒张压负荷值(nDL)。结果:8周原发性132例均血压控制达标,24 h平均收缩压、舒张压;白天平均收缩压、夜间平均收缩压;白天平均舒张压、夜间平均舒张压;白天收缩压负荷值、夜间收缩压负荷值;白天舒张压负荷值、夜间舒张压负荷值均优于4周前(P〈0.05)。继发性90例达标,24 h平均收缩压、舒张压;白天平均收缩压、夜间平均收缩压;白天平均舒张压、夜间平均舒张压;白天、夜间舒张压负荷值均优于4周前(P〈0.05)。8例无明显改善,无统计学意义(P〉0.05)。结论:24 h动态血压对老年高血压治疗达标有重要作用。
Objective:To observe 24 h our ambulatory blood pressure in elderly patients with hypertension in the application.Method:On 2008~2011Inner Mongolia Hohhot First Hospital from230 cases of senile hypertension132 cases,primary,secondary in 98 cases.Given 24hour ambulatory blood pressure monitoring,was admitted to the hospital 4weeks,8 weeks on24 h mean systolic blood pressure(24 h SBP),24 h mean diastolic blood pressure(24 h DBP),average daytime ambulatory systolic blood pressure(dSBP),nocturnal mean systolic blood pressure(nSBP),average daytime ambulatory diastolic blood pressure(dDBP),nocturnal mean diastolic blood pressure(nDBP),daytime systolic pressure load value(dSL),nocturnal systolic blood pressure load(nSL),daytime diastolic blood pressure load(dDL),nighttime diastolic blood pressure load(nDL).Results: 8 weeks of primary in 132 cases of blood pressure control rate,24 h mean systolic blood pressure(24 h SBP),24 h mean diastolic blood pressure(24 h DBP),average daytime ambulatory systolic blood pressure(dSBP),nocturnal mean systolic blood pressure(nSBP),average daytime ambulatory diastolic blood pressure(dDBP),nocturnal mean diastolic blood pressure(nDBP),daytime systolic pressure load value(dSL),nocturnal systolic blood pressure load(nSL),daytime diastolic blood pressure load(dDL),nighttime diastolic blood pressure load(nDL) are better than4 weeks ago(P<0.05),90 cases of secondary standard24 h mean systolic blood pressure(24 h SBP),24 h mean diastolic blood pressure(24 h DBP),average daytime ambulatory systolic blood pressure(dSBP),nocturnal mean systolic blood pressure(nSBP),average daytime ambulatory diastolic blood pressure(dDBP),nocturnal mean diastolic blood pressure(nDBP),daytime systolic pressure load value(dSL),nocturnal systolic blood pressure load(nSL),daytime diastolic pressure load value(dDL),nighttime diastolic blood pressure load(nDL) are better than4 weeks ago(P<0.05),8 cases showed no improvement,no statistical significance(P>0.05).Conclusion: 24 hour ambulatory blood pressure in elderly hypertension treatment compliance is important.
出处
《内蒙古医学杂志》
2013年第4期426-428,共3页
Inner Mongolia Medical Journal
关键词
24H动态血压
老年高血压
血压达标
24hour ambulatory blood pressure
In elderly hypertensive
Blood pressure