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高血压伴无症状脑梗死患者动态血压监测分析

Analysis of ambulatory blood pressure in patients with hypertension-associated asymptomatic cerebral infarction
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摘要 观察无症状脑梗死(ACI)与动态血压的关系。方法对38例高血压伴ACI(HT-A)组患者及70例高血压病不伴脑中风(HT-B)组患者分别进行了24小时动态血压监测(ABPM)。结果HT-A组夜间及日间收缩压和舒张压负荷值、24小时平均收缩压和舒张压及血压昼夜节律紊乱检出率均显著高于HT-B组(P<0.01)。表明ACI与动态血压均值、血压负荷值及血压昼夜节律紊乱密切相关,以夜间血压负荷的持续时间及昼夜节律消失的关系为明显。结论高血压患者预测高血压性脑血管损害方面。 Objective To investigate the relation of ambulatory blood pressure (ABP) and asymptomatic cerebral infarction(ACI).Method We monitored ABP in 38 patients with hypertension-associated ACI (group A) and 70 patients with hypertension (group B) for control.Results The results showed that the load of blood pressure (systolic and diastolic) and the detection rate of disorder in the rhythm of blood pressure in group A were higher than in group B (P<0.01).It suggested that ACI closely related to the daily average ABP,the load of blood pressure and disordered rhythm of blood pressure.Conclusion Monitoring ABP is of great significance for predicting cerebral vascular accident in patients with hypertension.
出处 《铁道医学》 1998年第2期76-77,共2页 Railway Medical Journal
关键词 高血压 无症状 动态血压 脑梗塞 并发症 hypertension asymptomatic cerebral infarction ambulatory blood pressure
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