老年高血压患者不同体位及餐后血压与相关因素的分析-analysis of different postures and postprandial blood pressure and related factors in elderly hypertensive patients.docxVIP

摘要老年高血压患者不同体位血压及餐后血压的研究研究生：窦媛媛导师：徐新娟教授摘要目的：测定老年高血压患者立位、坐位和卧位不同体位血压的变化及餐后血压的变化。方法：本实验随机抽取2009年1月-2010年6月新疆医科大学第五附属医院门诊或住院60岁以上110例老年高血压患者、105例老年非高血压患者、102例中年高血压患者，采用台式水银血压计柯氏音听诊法，测定卧位、坐位、立位血压。采用坐位测量上述患者的餐前餐后血压，采用动态心电图检测餐前餐后心率，同时监测靶器官损害的发生率进行分析。结果：老年高血压组立位收缩压及舒张压显著下降，与坐位、卧位比较有显著性差异（P0.01），而卧位收缩压及舒张压显著上升，与立位及坐位比较有统计学意义（P0.01）；老年非高血压组立位收缩压及舒张压显著下降，与坐位、卧位比较有显著性差异（P0.05），而坐位与卧位收缩压及舒张压比较差异无统计学意义（P0.05）；中年高血压组卧位、坐位、立位收缩压及舒张压的比较差异无统计学意义（P0.05）。老年高血压组及中年高血压组餐后1小时血压及心率均升高（P0.05），而老年非高血压组餐后血压及心率的变化差异无统计学意义（P0.05）。老年高血压病患者靶器官损害率也高于中青年高血压患者。结论：不同位体测量血压对老年高血压患者测量值影响较大，高血压患者餐后血压及心率明显升高。关键词：老年高血压；体位血压；餐后血压新疆医科大学医学硕士学位论文ThestudyofbloodpressureindifferentpostureandpostprandialbloodpressureinelderlyhypertensivepatientsandrelatedfactorsPostgraduate:DOUyuanyuansupervisor:XUXinjuanprofessorAbstractObjective:Todeterminetheelderlyhypertensivepatientsinstanding,sittingandsupinebloodpressureindifferentposturesandpostprandialbloodpressurechanges.Methods:ThisstudyrandomlyselectedinJanuary2009-inJune2010theFifthAffiliatedHospitalofXinjiangMedicalUniversityclinicorhospitalof110casesovertheageof60hypertensivepatients,105casesofelderlynon-hypertensivepatients,102casesofmiddle-agedhypertensivepatientsusingdesktopmercurysphygmomanometerbyKorotkoffsoundauscultation,measuredsupine,sitting,orthostaticbloodpressure.Measuredbysittingthepatientsfastingpostprandialbloodpressure,fastingpostprandialdynamicECGheartratedetection,whilemonitoringtheincidenceoftargetorgandamagewereanalyzed.Results:Elderlypatientswithhypertensioninstandingsystolicanddiastolicbloodpressuredecreasedsignificantly,andsitting,supine,therewassignificantdifference(P0.01),andsupinesystolicanddiastolicbloodpressureincreasedsignificantly,andinstandingandsittingforcomparisonstatisticallysignificant(P0.01);elderlywithouthypertensionorthostaticsystolicanddiastolicbloodpressuredecreasedsignificantly,andthesitting,supine,therewassignificantdifference(P0.05),systolicanddiastolicsittingandsupinepressuredifferencewasnotstatisticallysignificant(P0.05