CAJ | 학술논문

为探讨血压升高与靶器官心、脑、肾损害的关系，应用无创性血压监测仪对164例原发性高血压病病人进行24h动态血压监测。结果：单纯收缩压升高占28.0%，单纯舒张压升高占14.0%，混合型血压升高占57.9%；白昼血压升高占25.6%，夜间血压升高占17.1%，持续性血压升高占57.3%；原发性高血压靶器官损害以脑损害为主，其次为心脏、肾脏损害。提示：原发性高血压病程、血压负荷值与心、脑、肾损害密切相关；血压升高类型、血压升高时间与心、脑损害相关。
위탐토혈압승고여파기관심、뇌、신손해적관계，응용무창성혈압감측의대164례원발성고혈압병병인진행24h동태혈압감측。결과：단순수축압승고점28.0%，단순서장압승고점14.0%，혼합형혈압승고점57.9%；백주혈압승고점25.6%，야간혈압승고점17.1%，지속성혈압승고점57.3%；원발성고혈압파기관손해이뇌손해위주，기차위심장、신장손해。제시：원발성고혈압병정、혈압부하치여심、뇌、신손해밀절상관；혈압승고류형、혈압승고시간여심、뇌손해상관。
To probe into the relationship between the patter n of bloodpressure going up and the damage of the target organ heart, brain and kidney, 164 cases o f essential hypertension (EH) were monitored with noninvasive ambulant blood pre ssure monitoring (ABPM) in 24 hours. Results showed that the systolic hypertensi on accounted for 28.04%, the diastolic hypertension accounted for 14.02%, and the combined hypertension made up to 57.92%. It also showed that the elevation of blood pressure during the daytime, nighttime, and all the time was 25. 10%,17.07 % and 57.31% respectively. The target organ damage caused by EH was mainly in br ain then in heart and kidney. Suggested that the duration and blood pressure loading value of EH were closely related to the target organ damage. And the type a nd time of blood pressure going up were also related to the target organ damage.