老年高血压血清胆红素与昼夜节律变化的关系
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【摘要】目的 探讨老年高血压病患者血清胆红素与血压昼夜节律变化的关系。方法 将99例老年原发性高血压病患者按照24小时动态血压检测结果分为A、B两组:A组为杓形组,共31例;B组为非杓形组,共68例,分别测定血清总胆红素、直接胆红素、间接胆红素,并做颈动脉彩色多普勒超声检查,测定颈动脉斑块并进行分级。结果B组的血清总胆红素、直接胆红素、间接胆红素水平明显低于A组(P<0.01),B组颈动脉斑块分级明显高于A组(P<0.01)。结论 老年高血压病患者低血清胆红素水平与血压非杓形改变、颈动脉斑块形成关系密切。
【关键词】老年;高血压;昼夜节律;胆红素
Relationship between day-night rhythm and serum bilirubin in elderly people with essential hypertension
yanyan Li, Department of geriatrics, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029 China
【Abstract】Objective To investigate the relationship between day-night rhythm and serum bilirubin in elderly people with essential hypertension. Methods 99 elderly essential hypertensive patients were divided into 2 groups according to the blood pressure-decreasing ratio, group A (dipping group) 31 cases, group B (non-dipping group) 68 cases. Their serum bilirubin were measured and the grade of atheroma were examined at the same time ......
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