摘要
目的探讨老年高血压患者的动态血压监测特点。方法使用美国ＡｃｕｕｔｒａｋｅｒⅡ型无创动态血压监测仪对６０例老年高血压患者及对照组进行２４小时动态血压监测，日间血压每２０分钟、夜间每４５分钟记录１次，对各种参数进行对比分析。结果２４小时、日间、夜间的收缩压、舒张压和血压负荷值等参数，老年对照组明显高于青中年对照组；老年高血压Ⅰ、Ⅱ、Ⅲ期各组明显高于对照组，高血压各组间比较收缩压和血压负荷值有较大差异。结论２４小时、日间、夜间的收缩压、舒张压及血压负荷值等参数诊断是高血压较重要的指标。
Objective \ To evaluate the feature of ambulatory blood pressure monitoring(ABPM)in elderly hypertensives.\ \ Methods Noninvasive blood pressure recorder(Acuutracker Ⅱ )was used to carry out 24-hour ABPM in sixty edderly hypertensive patients and controsl.Blood pressure(BP)readings were obtained automatically at 20-minute intervals at dayime and at 45-minute intervals at nighttime.The parameters analyzed were 24-hour systolic blood pressure (SBP) and diastolic blood pressure (DBP)mean daytime SBP and DBP,mean nighttime SBP and DBP ,and the maximal and minimal SBP and DBP at daytime and nighttime,blood pressure load,fluctuation of BP and mean hourly SBP and DBP.\ \ Results\ 24-hour SBP and DBP ,daytime SBP and DBP ,nighttime SBP and DBP and blood pressure load in the healthy elderly comtrol group were singificantly higher than those in the healthy young control group.Moreover,these parameters in the groups of hypertension stage Ⅰ,ⅡandⅢwere significantly higher than those in the healthy elderly control group.The differences of SBP and blood pressure load among hypertension groups were statistically significant.\ \ Conclsions\ Important parameters for diagnosis of hypertension were24 hour SBP and DBP,day time SBP and DBP,nighttime SBP and DBP and blood pressure load.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1997年第3期159-161,共3页
Chinese Journal of Geriatrics
关键词
高血压
诊断
血压测定
监测
hypertension\ blood pressure determination
