湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
JOURNAL OF HUNAN NORMAL UNIVERSITY(MEDICAL SCIENCE)
2015年
2期
34-37
,共4页
熊英%欧柏青%邹燕%张颖捷
熊英%歐柏青%鄒燕%張穎捷
웅영%구백청%추연%장영첩
动态血压%血压%心力衰竭%老年%再入院率
動態血壓%血壓%心力衰竭%老年%再入院率
동태혈압%혈압%심력쇠갈%노년%재입원솔
ambulatory blood pressure%blood pressure%heart failure%elderly patients%readmission rate
目的：探讨老年心力衰竭患者动态血压特点与其再入院率的关系。方法：70例高血压合并心力衰竭的患者，按24h 平均动脉压（24h MBP）、24h 平均收缩压（24h SBP）、24h 平均舒张压（24h DBP)、白昼平均收缩压（DSBP）、白昼平均舒张压（DDBP）、夜间平均收缩压（NSBP）、夜间平均舒张压（NDBP）、收缩期血压负荷比值、舒张期血压负荷比值、收缩期血压昼夜节律、舒张期血压昼夜节律是否达标分为达标组与未达标组，比较各两组间再入院率。结果：与未达标组相比，血压均值24h MBP、24h SBP、24h DBP、DSBP、DDBP、NSBP、NDBP 达标组再入院率降低，其中24h SBP、24h DBP、DSBP、NSBP 再入院率明显低于未达标组；收缩期血压负荷比值、舒张期血压负荷比值达标组较未达标组再入院率降低，但无统计学差异；收缩期、舒张期血压昼夜节律失常组较未失常组具有更高的再入院率。结论：血压均值达标组及血压昼夜节律未失常组再入院率较未达标组相比明显降低，对老年高血压合并心衰患者行动态血压监测，可帮助了解其预后，指导临床治疗。
目的：探討老年心力衰竭患者動態血壓特點與其再入院率的關繫。方法：70例高血壓閤併心力衰竭的患者，按24h 平均動脈壓（24h MBP）、24h 平均收縮壓（24h SBP）、24h 平均舒張壓（24h DBP)、白晝平均收縮壓（DSBP）、白晝平均舒張壓（DDBP）、夜間平均收縮壓（NSBP）、夜間平均舒張壓（NDBP）、收縮期血壓負荷比值、舒張期血壓負荷比值、收縮期血壓晝夜節律、舒張期血壓晝夜節律是否達標分為達標組與未達標組，比較各兩組間再入院率。結果：與未達標組相比，血壓均值24h MBP、24h SBP、24h DBP、DSBP、DDBP、NSBP、NDBP 達標組再入院率降低，其中24h SBP、24h DBP、DSBP、NSBP 再入院率明顯低于未達標組；收縮期血壓負荷比值、舒張期血壓負荷比值達標組較未達標組再入院率降低，但無統計學差異；收縮期、舒張期血壓晝夜節律失常組較未失常組具有更高的再入院率。結論：血壓均值達標組及血壓晝夜節律未失常組再入院率較未達標組相比明顯降低，對老年高血壓閤併心衰患者行動態血壓鑑測，可幫助瞭解其預後，指導臨床治療。
목적：탐토노년심력쇠갈환자동태혈압특점여기재입원솔적관계。방법：70례고혈압합병심력쇠갈적환자，안24h 평균동맥압（24h MBP）、24h 평균수축압（24h SBP）、24h 평균서장압（24h DBP)、백주평균수축압（DSBP）、백주평균서장압（DDBP）、야간평균수축압（NSBP）、야간평균서장압（NDBP）、수축기혈압부하비치、서장기혈압부하비치、수축기혈압주야절률、서장기혈압주야절률시부체표분위체표조여미체표조，비교각량조간재입원솔。결과：여미체표조상비，혈압균치24h MBP、24h SBP、24h DBP、DSBP、DDBP、NSBP、NDBP 체표조재입원솔강저，기중24h SBP、24h DBP、DSBP、NSBP 재입원솔명현저우미체표조；수축기혈압부하비치、서장기혈압부하비치체표조교미체표조재입원솔강저，단무통계학차이；수축기、서장기혈압주야절률실상조교미실상조구유경고적재입원솔。결론：혈압균치체표조급혈압주야절률미실상조재입원솔교미체표조상비명현강저，대노년고혈압합병심쇠환자행동태혈압감측，가방조료해기예후，지도림상치료。
Objective To explore the relationship between the characteristics of ambulatory blood pressure in elderly pa-tients with congestive heart failure(CHF) and readmission. Methods A total of 70 patients with CHF and hypertension(median age 76.73±7.02 yrs old), were divided into Blood Pressure Controlled group and Non-controlled group by 24h MBP、24hSBP、24hDBP、DSBP、DDBP、NSBP、NDBP、Systolic blood pressure load ratio、Diastolic blood pressure load ratio or blood pressure rhythm disorders ratio. The readmission rate between the two groups was compared. Results Compared with the Non-controlled group, the BP controlled group of 24hMBP、24hSBP、24hDBP、DSBP、DDBP、NSBP or NDBP had a lower readmission rate. And the readmission rate of BP controlled group of 24hSBP、24hDBP、DSBP or NSBP was obviously lower than that of the ab-normal group. The readmission rate of Controlled group of blood pressure load ratio was lower than that of the Non-controlled group, but not statistically differenct. The readmission rate of Non-controlled group of blood pressure rhythm disorders ratio was higher than that of the controlled group. Conclusion The readmission rate of BP controlled group of the mean blood pressure or blood pressure rhythm disorders ratio was lower than the abnormal group. The ambulatory blood pressure monitoring in elderly patients with CHF and hypertension can help understand the prognosis and guide clinical treatment.
