CAJ | 학술논문

目的研究高血压病(EH)和2型糖尿病(DM)患者餐后状态血压和心率的变化特点. 方法 187例患者,分3组:高血压病组(EH,71例),2型糖尿病组(DM, 49例)和2型糖尿病伴高血压组(DM+EH, 67例).观察各组24 h动态血压和心率,进标准定量饮食,分析进餐前后收缩压(SBP)、舒张压(DBP)和心率的变化. 结果 EH组和DM+EH组24 h平均收缩压(24 h ABPS)和24 h平均舒张压(24 h ABPD)较DM组明显增高(P<0.01),而DM组和DM+EH组24 h平均心率较EH组快(P<0.01);EH组在餐后30 min至60 min的SBP、DBP和心率较餐前对应时间点升高(P<0.01),餐后90 min SBP、DBP和心率恢复至餐前水平.DM组和DM+EH组在餐后30 min至90 min SBP、DBP和心率下降(P<0.01),餐后120 min SBP、DBP和心率恢复至餐前水平. 结论高血压病和2型糖尿病患者餐后状态血压和心率的变化有不同的特点,表现为高血压病患者餐后血压升高和心率增快,而2型糖尿病或伴高血压病的2型糖尿病患者餐后血压和心率下降,且其血压和心率恢复至餐前水平较单纯高血压病患者慢.
목적연구고혈압병(EH)화2형당뇨병(DM)환자찬후상태혈압화심솔적변화특점. 방법 187례환자,분3조:고혈압병조(EH,71례),2형당뇨병조(DM, 49례)화2형당뇨병반고혈압조(DM+EH, 67례).관찰각조24 h동태혈압화심솔,진표준정량음식,분석진찬전후수축압(SBP)、서장압(DBP)화심솔적변화. 결과 EH조화DM+EH조24 h평균수축압(24 h ABPS)화24 h평균서장압(24 h ABPD)교DM조명현증고(P<0.01),이DM조화DM+EH조24 h평균심솔교EH조쾌(P<0.01);EH조재찬후30 min지60 min적SBP、DBP화심솔교찬전대응시간점승고(P<0.01),찬후90 min SBP、DBP화심솔회복지찬전수평.DM조화DM+EH조재찬후30 min지90 min SBP、DBP화심솔하강(P<0.01),찬후120 min SBP、DBP화심솔회복지찬전수평. 결론고혈압병화2형당뇨병환자찬후상태혈압화심솔적변화유불동적특점,표현위고혈압병환자찬후혈압승고화심솔증쾌,이2형당뇨병혹반고혈압병적2형당뇨병환자찬후혈압화심솔하강,차기혈압화심솔회복지찬전수평교단순고혈압병환자만.
Objective To study the change in postprandial blood pressure and heart rate in hypertensive and type 2 diabetic patients. Methods Subjects were assigned to three groups: the essential hypertension (EH, n= 71); the type 2 diabetes mellitus (DM, n= 49) and the hypertension with DM (DM+EH, n= 67). We evaluated changes in blood pressure and heart rate after a meal by 24 hour blood pressure monitoring in 187 hospitalized patients who received a diet containing standarded nutritional in lunch. Results From 30 min to 60 min after the test meal, the postprandial blood pressure and heart rate increased in the EH subgroup ( P <0.01),and recovered after 90 min,however,the postprandial blood pressure and heart rate decreased significandly in the DM subgroup and DM+EH subgroup from the 30 min to 90 min ( P <0.01),and recovered after 120 min .Heart rate of the DM and DM+EH group was higher than that of EH group before a diet ( P <0.01). Conclusion There were significant differences in postprandial blood pressure and heart rate between essential hypertensive patients and DM patients. The postprandial blood pressure and heart rate increased in the EH, but decreased in the DM and DM+EH.