摘要
BackgroundFall 损害是普通的在之中老。这研究的目的是调查是否血压模式由 24-h 测量了监视的回廊血压( ABPM )，或跟随 24-h ABPM 的 antihypertensive 治疗的增强，可以在高血压的老 patients.MethodsIn 与秋天损害被联系回顾的研究，是的基于社区的老病人(年龄 70 年)指了 24-h ABPM 在一个年 post-ABPM 以内为秋天损害被评估。我们比较了临床的特征， 24-h ABPM 模式和高血压的治疗追随者 24-h ABPM 的增强，在有或没有秋天 injury.ResultsOverall 的病人之间 1032 个高血压的老病人被评估。(5.3%) 55 在跟随 ABPM 的一年有一个秋天损害事件。有秋天损害的病人显著地更老，并且与以前的下降的更高的率。更低的 24-h 心脏舒张的血压(到 2014 年 12 月的 67.3 2011 年 1 月) ， 1164 个病人作为有尖锐大动脉的解剖被识别。corr？？
Background Fall injuries are common among the elderly. The aim of this study was to investigate whether blood-pressure patterns, as measured by 24-h ambulatory blood pressure monitoring （ABPM）, or intensification of antihypertensive therapy following the 24-h ABPM, may be associated with fall injuries in hypertensive elderly patients. Methods In a retrospective study, community-based elderly patients （age ≥ 70 years） who were referred to 24-h ABPM were evaluated for fall injuries within one-year post-ABPM. We compared the clinical characteristics, 24-h ABPM patterns and the intensification of hypertensive therapy following 24-h ABPM, between patients with and without a fall injury. Results Overall 1032 hypertensive elderly patients were evaluated. Fifty-five （5.3%） had a fall injury episode in the year following ABPM. Patients with a fall injury were significantly older, and with higher rates of previous falls. Lower 24-h diastolic blood-pressure （67.3 ± 7.6 vs. 70.7 ± 8.8 mmHg; P 〈 0.005） and increased pulse-pressure （74.7 ± 14.3 vs. 68.3 ± 13.7 mmHg; P 〈 0.005）, were found in the patients with a fall injury, compared to those without a fall injury. After adjustment for age, gender, diabetes mellitus and previous falls, lower diastolic blood-pressure and increased pulse-pressure were independent predictors of fall injury. Intensification of antihypertensive treatment following the 24-h ABPM was not associated with an increased rate of fall injury. Conclusions Low diastolic blood-pressure and increased pulse-pressure in 24-h ABPM were associated with an increased risk of fall injury in elderly hypertensive patients. Intensification of antihypertensive treatment following 24-h ABPM was not associated with an increased risk of fall injury.
