目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h...目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h SBP)、24小时平均舒张压(24 h DBP)、白昼平均收缩压(dSBP)、白昼平均舒张压(dDBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、脉压(PP)、平均动脉压(MAP)等ABPM参数并分析相关性。结果:蒙古族人群脑卒中组平均收缩压、平均舒张压、脉压与非脑卒中组相比,差异有统计学意义(P<0.05),呈正相关;平均动脉压与非脑卒中组相比,差异有统计学意义(P<0.01),呈显著正相关。同时,蒙古族人群脑卒中组平均收缩压、平均舒张压、平均动脉压明显高于汉族人群脑卒中组。结论:蒙古族人群原发性高血压平均收缩压、平均舒张压、脉压、平均动脉压与脑卒中的发生密切相关。展开更多
[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constit...[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constitutions,in order to provide new ideas for the treatment of patients with hypertension and insomnia.[Methods]Cross sectional observation method was used,and 420 patients with hypertension and insomnia were selected.Required information was collected,and the constitution type of traditional Chinese medicine was determined,and relevant data were recorded.SPSS and Logistic regression analysis method were used to explore the correlation between the distribution of TCM constitution types and gender,age,24 h-SBP,24 h-DBP,24 h-BPV,PSQI score,etc.[Results]Among 420 patients,the proportion of gentleness constitution was the most,and others in turn were Qi deficiency constitution>Yang deficiency constitution>phlegm dampness constitution>Qi stagnation constitution>Yin deficiency constitution>blood stasis constitution>damp heat constitution>special constitution.Among male patients,the proportion of gentleness constitution was the most.Among female patients,the proportion of Qi deficiency constitution was the most.In each constitution,the proportion of men and women was different,and the difference in gentleness constitution,Qi deficiency constitution and Yin deficiency constitution had statistical significance(P<0.05).The proportion of gentleness constitution for young and middle-aged patients was the most,while elderly patients with Qi deficiency constitution was the most.There was difference in the distribution of TCM constitution in different age groups,and the difference had statistical significance(P<0.05).Compared with the patients with gentleness constitution,the patients with Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,damp heat constitution,blood stasis constitution and Qi stagnation constitution had different differences in terms of age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score,and there was statistical significance(P<0.05).Except damp heat constitution,blood stasis constitution and special constitution,other constitutions had certain correlation with age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score.[Conclusions]TCM constitution types of patients with hypertension and insomnia were dominant by gentleness constitution,Qi deficiency constitution and Yang deficiency constitution.The distribution of TCM constitution in different gender and age groups was different,and different TCM constitution was related to ABPM and PSQI.展开更多
Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motiva...Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motivating the present study.Objective:The objective was to analyze the contribution of ambulatory blood pressure monitoring in screening and diagnosis of adults hypertension.Methods:This was a cross-sectional,descriptive study conducted at the Polyclinic“Alliance Medicale”between August 2022 and July 2025.It included all subjects aged 18 years or older,with no history of hypertension,who underwent ABPM.Results:Of the 289 ambulatory blood pressure monitoring(ABPM)sessions performed during the study period,104 were for treatment(36%)and 185 were for screening and diagnosis(64%).In the general population,the 30-44(40%)and 45-59(32%)age groups were the most represented,with a mean age of 45±14 years and a range of 19 to 95 years.Males predominated(52%),with a male-to-female ratio of 1.08.The indication was for screening in 55 patients(30%)and for a diagnosis of hypertension in 130 patients(70%).The mean 24/7 blood pressure was 131 mmHg for systolic blood pressure and 82 mmHg for diastolic blood pressure,with a mean heart rate of 81 bpm.The mean pulse pressure was 50 mmHg and was abnormal in 11%of patients.Ambulatory blood pressure monitoring(ABPM)confirmed the diagnosis of masked hypertension in 25%and white coat hypertension in 17%.The proportion of hypertension was 66%,both overall and for men and women,and increased with age.In those 60 and over,hypertension was more frequent in women than in men(92.3%vs.61.1%).The mean age of hypertensive patients was 47±13 years,with a male predominance and the most prevalent age groups being 30-44 years(40%)and 45-59 years(35%).A non-dipper profile was observed in 56%of hypertensive patients.Sixteen percent of hypertensive patients had a pulse pressure greater than or equal to 60 mmHg.Individuals aged 60 and over represented 60%of patients with abnormal pulse pressure and two-thirds of patients with isolated systolic hypertension.Conclusion:Hypertension is common,and its prevalence increases with age.Despite the availability of ambulatory blood pressure monitoring(ABPM),it is less frequently prescribed in daily practice.展开更多
文摘目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h SBP)、24小时平均舒张压(24 h DBP)、白昼平均收缩压(dSBP)、白昼平均舒张压(dDBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、脉压(PP)、平均动脉压(MAP)等ABPM参数并分析相关性。结果:蒙古族人群脑卒中组平均收缩压、平均舒张压、脉压与非脑卒中组相比,差异有统计学意义(P<0.05),呈正相关;平均动脉压与非脑卒中组相比,差异有统计学意义(P<0.01),呈显著正相关。同时,蒙古族人群脑卒中组平均收缩压、平均舒张压、平均动脉压明显高于汉族人群脑卒中组。结论:蒙古族人群原发性高血压平均收缩压、平均舒张压、脉压、平均动脉压与脑卒中的发生密切相关。
基金the National Key R&D Program Funded Project(2018 YFC17056009)Study on Insomnia and Its Relationship with Climacteric Syndrome,Hypertension,Mild Cognitive Impairment in the Elderly and Comprehensive Treatment Plan(2018YFC1705604)Pilot Project of Clinical Cooperation between Traditional Chinese and Western Medicine for Major and Difficult Diseases by the State Administration of Traditional Chinese Medicine:"Refractory Hypertension"(GZYYBYZF[2018]3).
文摘[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constitutions,in order to provide new ideas for the treatment of patients with hypertension and insomnia.[Methods]Cross sectional observation method was used,and 420 patients with hypertension and insomnia were selected.Required information was collected,and the constitution type of traditional Chinese medicine was determined,and relevant data were recorded.SPSS and Logistic regression analysis method were used to explore the correlation between the distribution of TCM constitution types and gender,age,24 h-SBP,24 h-DBP,24 h-BPV,PSQI score,etc.[Results]Among 420 patients,the proportion of gentleness constitution was the most,and others in turn were Qi deficiency constitution>Yang deficiency constitution>phlegm dampness constitution>Qi stagnation constitution>Yin deficiency constitution>blood stasis constitution>damp heat constitution>special constitution.Among male patients,the proportion of gentleness constitution was the most.Among female patients,the proportion of Qi deficiency constitution was the most.In each constitution,the proportion of men and women was different,and the difference in gentleness constitution,Qi deficiency constitution and Yin deficiency constitution had statistical significance(P<0.05).The proportion of gentleness constitution for young and middle-aged patients was the most,while elderly patients with Qi deficiency constitution was the most.There was difference in the distribution of TCM constitution in different age groups,and the difference had statistical significance(P<0.05).Compared with the patients with gentleness constitution,the patients with Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,damp heat constitution,blood stasis constitution and Qi stagnation constitution had different differences in terms of age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score,and there was statistical significance(P<0.05).Except damp heat constitution,blood stasis constitution and special constitution,other constitutions had certain correlation with age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score.[Conclusions]TCM constitution types of patients with hypertension and insomnia were dominant by gentleness constitution,Qi deficiency constitution and Yang deficiency constitution.The distribution of TCM constitution in different gender and age groups was different,and different TCM constitution was related to ABPM and PSQI.
文摘Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motivating the present study.Objective:The objective was to analyze the contribution of ambulatory blood pressure monitoring in screening and diagnosis of adults hypertension.Methods:This was a cross-sectional,descriptive study conducted at the Polyclinic“Alliance Medicale”between August 2022 and July 2025.It included all subjects aged 18 years or older,with no history of hypertension,who underwent ABPM.Results:Of the 289 ambulatory blood pressure monitoring(ABPM)sessions performed during the study period,104 were for treatment(36%)and 185 were for screening and diagnosis(64%).In the general population,the 30-44(40%)and 45-59(32%)age groups were the most represented,with a mean age of 45±14 years and a range of 19 to 95 years.Males predominated(52%),with a male-to-female ratio of 1.08.The indication was for screening in 55 patients(30%)and for a diagnosis of hypertension in 130 patients(70%).The mean 24/7 blood pressure was 131 mmHg for systolic blood pressure and 82 mmHg for diastolic blood pressure,with a mean heart rate of 81 bpm.The mean pulse pressure was 50 mmHg and was abnormal in 11%of patients.Ambulatory blood pressure monitoring(ABPM)confirmed the diagnosis of masked hypertension in 25%and white coat hypertension in 17%.The proportion of hypertension was 66%,both overall and for men and women,and increased with age.In those 60 and over,hypertension was more frequent in women than in men(92.3%vs.61.1%).The mean age of hypertensive patients was 47±13 years,with a male predominance and the most prevalent age groups being 30-44 years(40%)and 45-59 years(35%).A non-dipper profile was observed in 56%of hypertensive patients.Sixteen percent of hypertensive patients had a pulse pressure greater than or equal to 60 mmHg.Individuals aged 60 and over represented 60%of patients with abnormal pulse pressure and two-thirds of patients with isolated systolic hypertension.Conclusion:Hypertension is common,and its prevalence increases with age.Despite the availability of ambulatory blood pressure monitoring(ABPM),it is less frequently prescribed in daily practice.
