中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
20期
25-27
,共3页
高血压%脑卒中%昼夜节律%心血管
高血壓%腦卒中%晝夜節律%心血管
고혈압%뇌졸중%주야절률%심혈관
High blood pressure%Stroke%Circadian rhythm%Cardiovascular
目的：探讨老年高血压患者动态血压特点与脑卒中的关系。方法：选择2013年2月-2014年2月本院收治的267例高血压患者作为研究对象，根据患者的年龄将其分为老年组149例（A组）和非老年组118例（B组）。在此基础上再次进行分组，根据患者是否合并脑卒中将上述两组分为脑卒中组A1和B1以及非脑卒中组A2和B2。对患者进行动态血压监测，观察两组患者的血压特点并分析其与脑卒中的关系。结果：A组血压的昼夜节律性低于B组，差异有统计学意义（P<0.05）。A组脉压与B组比较差异有统计学意义（P<0.05），并且A1组夜间收缩压明显高于其余三组（P<0.05）。结论：血压昼夜节律降低、动态血压脉压增大及夜间收缩压增高是老年高血压患者并发脑卒中的重要原因，掌握老年高血压的变化特点并分析其与脑卒中之间的关系可以有效预防由该病引发的心血管疾病，并通过个体性的治疗方案保障临床治疗效果。
目的：探討老年高血壓患者動態血壓特點與腦卒中的關繫。方法：選擇2013年2月-2014年2月本院收治的267例高血壓患者作為研究對象，根據患者的年齡將其分為老年組149例（A組）和非老年組118例（B組）。在此基礎上再次進行分組，根據患者是否閤併腦卒中將上述兩組分為腦卒中組A1和B1以及非腦卒中組A2和B2。對患者進行動態血壓鑑測，觀察兩組患者的血壓特點併分析其與腦卒中的關繫。結果：A組血壓的晝夜節律性低于B組，差異有統計學意義（P<0.05）。A組脈壓與B組比較差異有統計學意義（P<0.05），併且A1組夜間收縮壓明顯高于其餘三組（P<0.05）。結論：血壓晝夜節律降低、動態血壓脈壓增大及夜間收縮壓增高是老年高血壓患者併髮腦卒中的重要原因，掌握老年高血壓的變化特點併分析其與腦卒中之間的關繫可以有效預防由該病引髮的心血管疾病，併通過箇體性的治療方案保障臨床治療效果。
목적：탐토노년고혈압환자동태혈압특점여뇌졸중적관계。방법：선택2013년2월-2014년2월본원수치적267례고혈압환자작위연구대상，근거환자적년령장기분위노년조149례（A조）화비노년조118례（B조）。재차기출상재차진행분조，근거환자시부합병뇌졸중장상술량조분위뇌졸중조A1화B1이급비뇌졸중조A2화B2。대환자진행동태혈압감측，관찰량조환자적혈압특점병분석기여뇌졸중적관계。결과：A조혈압적주야절률성저우B조，차이유통계학의의（P<0.05）。A조맥압여B조비교차이유통계학의의（P<0.05），병차A1조야간수축압명현고우기여삼조（P<0.05）。결론：혈압주야절률강저、동태혈압맥압증대급야간수축압증고시노년고혈압환자병발뇌졸중적중요원인，장악노년고혈압적변화특점병분석기여뇌졸중지간적관계가이유효예방유해병인발적심혈관질병，병통과개체성적치료방안보장림상치료효과。
To study the dynamic blood pressure characteristics of elderly hypertensive patients and its relationship with cerebral apoplexy.Method:267 hypertension patients were selected as the research object in our hospital from February 2013 to February 2014,they were divided into the elderly group(the group A,149 patients)and the non-elderly group(the group B,118 patients)according to patients’ age. On the basis of this group again,according to whether patients with combined stroke will be divided into the stroke group A1 and B1 and the non-stroke group A2 and B2. Ambulatory blood pressure of 267 cases were monitored,the blood pressure characteristics two groups was observed and its relationship with cerebral apoplexy was analyzed.Result:In the group A whether merger or stroke,its blood pressure circadian rhythm was lower than that in the group B(P<0.05);the pulse pressure pulse pressure had significant difference between the group A and the group B(P<0.05). Nighttime systolic blood pressure of the A1 group was obviously higher than that of the rest of the three groups(P<0.05).Conclusion:Low blood pressure circadian rhythm,pressing of arteries and veins increases blood pressure and systolic blood pressure at night increased dynamic is one of the reasons for the elderly patients with hypertension complicated by stroke,to analyze the change characteristics of senile hypertension and its and the relationship between cerebral apoplexy can effectively prevent the disease caused by cardiovascular disease, and through the individual treatment plan to ensure the clinical therapeutic effect.
