高血压；_动态血压监测；_血压昼夜节律；_影响因素_

老年高血压患者血压昼夜节律控制情况及影响因素分析

http://www.100md.com 《实用老年医学》 2007年第1期

高血压；,动态血压监测；,血压昼夜节律；,影响因素,,高血压；,动态血压监测；,血压昼夜节律；,影响因素,1对象和方法,2结果,3讨论,[参考文献]

     【摘要】目的观察治疗中的老年高血压患者血压昼夜节律的控制情况，并分析其影响因素。方法连续收集10年来曾在我科住院的老年高血压患者共 638例。根据动态血压监测结果将血压昼夜节律分为杓型、非杓型、反杓型及超杓型，并通过非条件Logistic回归分析血压昼夜节律的影响因素。结果入选病例中，正常血压节律者占2357%(151/638)，异常血压节律者占7643%(487/638)；其中非杓型占 4843%，反杓型占2649%，超杓型占141%。非条件Logistic回归结果提示，年龄≥80岁是异常血压节律的危险因素，而服用利尿剂则降低血压异常节律的危险(P<005)。性别、靶器官损害、糖尿病及其他降压药物对血压节律均无影响(P>005)。结论在老年高血压患者中应重视血压节律的监测。对异常血压昼夜节律的患者，选用利尿剂可能是较好的治疗措施之一。

    【关键词】高血压；动态血压监测；血压昼夜节律；影响因素

    Profile on circadian blood pressure and its influencing factors in elderly hypertensive patients

    DU Ruixue, FAN Li,ZHANG Li.

    Department of Geriatric Cardiology and Department of Clinical Medicine,the Chinese General Hospital of PLA, Beijing 100853, China

    【Abstract】 Objective To investigate circadian blood pressure profile and its influencing factors in elderly hypertensive patients. Methods 638 cases in our department during the last 10 years were selected. With blood pressure monitoring, circadian blood pressure profile was divided into dipping, nondipping, reversedipping and extremedipping. Binary logistic regression analysis was used to evaluate the correlation between circadian blood pressure profile and its influencing factors. Results In all the cases, 151(2357%)showed normal circadian blood pressure profile, and 487(7643%) showed abnormal circadian blood pressure(4843% of nondipping ......

百拇医药网 http://www.100md.com/html/DirDu/2007/03/10/38/50/71.htm

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