动态血压监测指标与高血压靶器官损害的相关性分析

A Correlative Research on Hypertension Target Organ Damage and Ambulatory Blood Pressure Monitoring Indicators

目的:探讨高血压病靶器官损害(TOD)与动态血压监测的收缩压(SBP)、舒张压(DBP)及平均动脉压(MBP)指标的相关性。方法:采用无创便携式动态血压监测仪对社区216例高血压病患者进行24h动态血压监测,根据MBP分为:Ⅰ组,MBP≥120mmHg,共108例;Ⅱ组,MBP<120mmHg,共108例。每组再以脉压(PP)分为三个亚组:A组,PP<60mmHg;B组,PP在60～80mmHg;C组,PP>80mmHg。比较各组TOD发生率的差异。结果:Ⅰ组的SBP、DBP、MBP均大于Ⅱ组(P<0.05);随SBP增加,TOD发生率逐步增加(P<0.05);而两组中相同亚组的TOD发生率无差异(P>0.05)。结论:高血压病患者TOD与PP关系更为紧密。

Objective ：To explore the correlation between TOD and the indicators of SBP DBP and MBP. Method： To adopt noninvasive portable ambulatory blood pressure monitor to undertake 24h monitoring for 124 hypertension patients.In accordance with MBP, they are divided into Group I ibcluding 108 cases and Group Ⅱ including 108 cases, and the two groups are then divided into three sub-groups respectively. The differences of TOD occurred in each group are compared. Result：SBP, DBP and MBP of Group I are all higher then those o Group Ⅱ （P〈0.05）; the probability of TOD is increasing with the increasing of SBP（P〈0.05）,the probability of TOD in sub-groups are the same （P 〉0.05）. Conclusion： TOD of hypertension patients is more closely related to PP.