高血压；_血压；_白蛋白类；

老年高血压患者动态脉压及脉压指数与尿白蛋白关系

http://www.100md.com 《实用老年医学》 2006年第4期

高血压；,血压；,白蛋白类；,老年人,1对象和方法,2结果,3讨论,参考文献

     【摘要】目的探讨老年高血压患者动态收缩压(SBP)、舒张压(DBP)、脉压(PP)和脉压指数(PPI)与尿白蛋白(ALB)的关系，评价PP和PPI在反映高血压患者早期肾损伤方面的价值。方法用动态血压监测仪测量220例老年高血压患者的PP和PPI，按PP≤40 mmHg(51例)、41~60 mmHg(71例)、61~80 mmHg(66例)和>80 mmHg(32例)分为4组；按PPI≤040(54例)、041~050(75例)、051~060(62例)和>060(29例)分为4组。采用免疫比浊法测定研究对象的尿ALB和血脂，比较各组尿ALB的水平。结果各组间性别比、年龄、血脂异常均无显著性差异，随着PP、PPI的增加，尿ALB水平明显增高(P<005)。经Spearman相关分析，PP和PPI与尿ALB水平的相关系数(r)值(0416，0483)大于SBP和DBP与尿ALB的r 值(0325，0302)。结论 PP和PPI与尿ALB水平密切相关，其在反映高血压患者早期肾损伤的价值优于SBP和DBP。

    【主题词】高血压；血压；白蛋白类；老年人

    Correlation between dynamic pulse pressure, pulse pressure index and albuminuria in senile hypertensive patients

    MO Yunqiu,WU Songjiao, WANG Qiang.

    Department of Cardiovascular Medicine, Ruikang Hospital Affiliated to Guangxi College of Traditional Chinese Medicine, Nanning 530011 China ; WEI Bin.Guangxi College of Traditional Chinese Medicine, Nanning 530001 China

    【Abstract】 Objective To investigate the correlation of systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), pulse pressure index (PPI) with albuminuria (ALB) in senile hypertensive patients and to evaluate the value of PP and PPI in reflecting early renal injury Methods 220 cases, whose PP and PPI level were measured by the dynamic blood pressure(BP) monitor ......

百拇医药网 http://www.100md.com/html/DirDu/2006/11/29/30/35/43.htm

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