增龄对老年高血压患者血压昼夜节律特征的影响.docVIP

精品论文 参考文献 增龄对老年高血压患者血压昼夜节律特征的影响 姚武位　徐新献通讯作者　周婧　田绿　窦娟　潘怡　朱爱东　徐小利 　　重庆市第五人民医院　重庆　４０００６２ 基金项目:重庆市卫计委医学科研计划项目(项目编号[２０１４]５６号) 　　【摘要】　目的　探讨增龄对老年高血压患者血压昼夜节律特征的影响.方法　将老年高血压患者３４６例按年龄段分为老年１组(６０~６９岁,n＝７７)、老年２组(７０~７９岁,n＝１０９)和老年３组(ge;８０岁,n＝１６０),分析３组患者动态血压参数、动态血压昼夜节律异常发生率.结果　２４h平均舒张压(２４hDBP)老年３ 组和老年２组均低于老年１组(P＜０．０５).３组的血压昼夜节律异常率分别为７６．６３％、８７．１６％和９０．６３％.血压昼夜节律异常率老年３组显著高于老年１组(P＜０．０５).结论　老年高血压患者血压昼夜节律特征多数表现为非杓型和反杓型血压,并且多数血压昼夜节律消失.随增龄变化老年高血压患者昼夜节律异常率增高,增龄是血压昼夜节律消失的一个重要因素. 【关键词】　老年人;　高血压;　昼夜节律;　动态血压监测;　增龄Effectsofincreasingageonthecharacteristicofdiurnalrhythmofbloodpressreinelderlyhypertensivepatients　Yao Wuwei,XuXinxian,ZhouJing,TianLu,DouJuan,PanYi,ZhuAiding,XuXianli　(Departmentofgeratology,theChongqing No．５People,sHospital,Chongqing ４０００６２,China)【Abstract】　ObjectiveToinvestigatetheeffectsofincreasingageonthecharacteristicofdiurnalrhythmofbloodpressreinelderlyhypertensivepatients．(Method３４６patientsweredividedintothreegroupsaccordingtotheirages:Group１(agedfrom６０to６９,n＝７７),Group２(agedfrom７０to７９,n＝１０９),Group３ agedge;８０,n＝１６０)．Theparametersandincidenceofabnormalbloodpressureondiurnalrhythmwereanalysedinthethreegroups．Results２４－houraveragediasＧt(olicpressure(２４hDBP)waslowerintheGroup３andGroup２thaninGroup１(P＜０．０５)．Therateofabnormalofdiurnalrhythmofbloodpressrewas７６．６３％ Group１),８７．１６％(Group２),９０．６３％(Group３)respectively;anditwasremarkabledifferencebetweenGroup１andGroup３(P＜０．０５)．ConclusionNon－dipperandreversedipperbloodpressureismorecommonlyexistedwiththecharacteristicofdiurnalrhythmofbloodpressreinelderlyhypertensivepatients．thediurnalrhythmofbloodpressreisdisappearedwiththediurnalrhythmofbloodpressreinelderlyhypertensivepatients．Abnormalrateofabnormalofdiurnalrhythmofblood【Kpreeysswroeridssv】ariationalalongwiththeincreaseage．theincreasingageisanimportantfactoronofdisappearedwiththediurnalrhythmofbloodpressre． 　Elderly;Hypertension;　Diurnalrhythm;　Ambulatorybloodpressuremonitoring;　Increasingage 【中图分类号】R１９３ 【文献标识码】B 　　【文章编号】１００１－５３０２(２０１５)０９－０７３０－０２　　 　　增龄与高血压有一定的关系,高血压是增龄的标志.２４h动态血压监测(２４h