摘要
目的探讨高血压患者血压动态监测特点及与脑卒中的关系。方法选取2012年3月~2014年12月在我院治疗的高血压伴脑卒中患者248例为脑卒中组,同时选取高血压未伴脑卒中患者173例为对照组,采用动态血压监测仪记录两组患者24 h平均血压、脉压等。结果脑卒中组24 h平均收缩压(SBP)为(142.47±13.24)mm Hg,脉压为(67.10±10.13)mm Hg,均明显高于对照组的(131.08±14.16)、(58.34±9.18)mm Hg(P<0.05);脑卒中组24 h平均舒张压(DBP)为(76.14±9.47)mm Hg,对照组为(75.98±9.13)mm Hg,差异无统计学意义(P>0.05)。脑卒中组患者昼夜SBP分别为(149.54±10.64)mm Hg和(140.24±11.54)mm Hg,明显高于对照组的(138.87±9.86)mm Hg和(129.57±10.61)mm Hg,差异有统计学意义(P<0.05);脑卒中组夜间DBP为(76.04±10.08)mm Hg,明显高于对照组的(73.45±9.56)mm Hg,差异有统计学意义(P<0.05)。脑卒中组患者SBP和DBP节律分别为(4.24±0.94)%和(5.53±1.21)%,明显低于对照组的(9.73±1.32)%和(9.07±1.27)%,差异有统计学意义(P<0.05)。结论平均SBP、PP、昼夜SBP和血压昼夜节律与脑卒中的发生可能有相关性,有效控制血压特别是SBP,对脑卒中发生的减少可能有重要价值。
Objective To investigate the characteristics of ambulatory blood pressure monitoring in patients with hypertension and its relationship with stroke.Methods 248 patients with hypertension combined with cerebral stroke treated in our hospital from March 2012 to December 2014 were recruited as the cerebral stroke group,and 173 hypertensive patients without cerebral stroke were selected as the control group.The ambulatory blood pressure monitoring was used in both groups to record the average blood pressure of 24 h,pulse pressure （PP） and so on.Results In the cerebral stroke group,average systolic blood pressure （SBP） of 24 h was （142.47±13.24） mmHg,and PP was （67.10±10.13） mmHg,which were significantly higher than the control group [（131.08±14.16） mmHg and （58.34±9.18） mmHg] （P〈0.05）.Meandiastolic blood pressure （OBP） of 24 h was （76.14±9.47） mmHg in the cerebral stroke group,and was （75.98±9.13） mmHg in the control group,there were no significantly difference between both groups （P〉0.05）.The circadian SBP respectively were （149.54±10.64） minHg and （140.24±11.54） mmHg in cerebral stroke group,which were remarkblely higher than those of the control group （138.87±9.86） mmHg and （129.57±10.61） mining （P〈0.05）.DBP at night in cerebral stroke group was （76.04±10.08） mmHg,which was significantly higher than the control group （73.45±9.56） mmHg （P〈0.05）.The SBP and DBP rhythms were respectively （4.24±0.94）% and （5.53±1.21）% in the cerebral stroke group,which were significantly lower than the control group （9.73±1.32）% and （9.07±1.27）% （P〈0.05）.Conelusion Average SBP,PP, circadian SBP and blood pressure circadian rhythm may be relevant to the occurrence of cerebral stroke.Effective control of blood pressure,particularly SBP,may have significant value to reduce the incidence of cerebral stroke.
出处
《中国当代医药》
2017年第12期32-34,共3页
China Modern Medicine
关键词
高血压
动态血压监测
脑卒中
收缩压
舒张压
Hypertension
Ambulatory blood pressure monitoring
Cerebral stroke
Systolic blood pressure
Diastolic blood pressure
