摘要
目的探讨高血压合并2型糖尿病患者24小时血压变化状况,指导临床用药。方法采用MOBIL-O-Graph动态血压监测仪监测40例原发性高血压病(EH组)和38例原发性高血压合并2型糖尿病(DM组)患者24小时血压,比较其24hSBP、24hDBP、dSBP、dDBP、nSBP、nDBP、血压负荷值、血压昼夜节律。结果24hSBP、24hDBP、dSBP、dDBP、白天血压负荷两组无差异(P>0.05),nSBP、nDBP、夜间血压负荷及血压昼夜节律存在差异(P<0.05)。结论高血压合并2型糖尿病患者夜间血压升高,夜间负荷值升高,血压昼夜节律发生改变。
Objective To explore the changes of ambulatory blood pressure mo ni toring (ABPM) in patients with type 2 diabetes mellitus and hypertension and gui de teatment. Methods 78 patients were divided into two groups. EH group: 40 pati ents with only essential hypertension. DM group: 38 patients with hypertension a nd type 2 diabetes mellitus. 24hSBP、24hDBP、dSBP、dDBP、nSBP、nDBP and other in dexs were monitored by a ambulatory blood pressure monitor (MOBIL-O-Grapy). Re sults The results showed that there were no significant difference (P>0.05) betw een two groups in 24hSBP、24hDBP、dSBP、dDBP、the load of BP in day, whereas the differences between two groups in nSBP、nDBP、the load of BP in night、the rhyt hm of BP were significant (P<0.05). Conclusion The BP of patients with hypertens ion and type 2 diabetes mellitus ascends in night and the load of DBP、load of S BP in night were higher than that of EH group, the rhythm of ABP in DM group was non-dipper.
出处
《中国航天医药杂志》
2003年第2期35-36,共2页
Medical Journal of CASE
