摘要
目的研究24h动态血压监测在老年高血压病诊治中的临床意义。方法对371例60岁以上高血压病患者进行24h动态血压监测,分析白天、夜间和24h血压以及血压负荷,诊室血压和脉压变化,评价不同血压测量参数和血管损害的关系。结果颈总动脉内膜厚度与24 h收缩压负荷及夜间脉压显著相关;颈总动脉斑块与夜间脉压、夜间舒张压负荷显著相关;普通诊室测量血压参数与颈动脉受损关系没有显着性。结论动态血压监测有助于判定血压的危害和指导高血压病的治疗。
Objective To investigate the role of ambulatory blood pressure monitor in management of elderly hypertension. Methods Twenty-four-hour ambulatory and office blood pressure, carotid damage evaluated by ultrasonography and cardiac risk profiles were evaluated in 371 hypertension and 195 normotension with more than 60-year-old of age to determine the relationship between blood pressure variables and carotid damage. Results The common carotid intima - media thickness was significantly associated with 24-h systolic blood pressure load, nocturnal pulse pressure and carotid atherosclerotic plaques with diurnal pulse pressure and nocturnal diastolic blood pressure load. The parameters of office blood pressure was not significantly associated the carotid damage. Conclusion Ambulatory blood pressure monitoring, a good examination for detecting the damage of hypertension and guide to managing hypertension, is better associated with vascular damage than office blood pressure.
出处
《西部医学》
2010年第5期866-868,共3页
Medical Journal of West China
关键词
老年人
动态血压监测
高血压病
颈动脉超声
诊断
Elderly
Ambulatory blood pressure monitor
Hypertension
Carotid ultrasonography
Diagnosis
