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老年高血压病患者血压变异性与踝肱指数的相关性研究

The correlation between blood pressure variability in elderly patients with hypertension and ankle-brachial index
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摘要 目的以老年高血压病患者为研究对象,探讨踝肱指数(ABI)与血压变异性(BPV)的相关性。方法将122例老年高血压患者分为ABI异常组64例和ABI正常组58例,测定患者的ABI和BPV指标,并分析两者之间的相关性。结果老年高血压病患者的ABI除与年龄、病程、BMI、TC、TG、HDL-C等指标相关外,24hSBPSD、24hSBPCV、dSBPSD、dSBPCV、nSBPSD、nSBPCV为ABI的独立危险因素。结论对于老年高血压病患者,在控制血压以及干预BMI、TC、TG、HDL-C传统危险因素的同时,应重视降低其BPV指标,从而减少周围血管等靶器官损害和心血管事件的发生。 Objective To investigate into the correlation between ankle-brachial index (ABI) and blood pressure variability(BPV) in elderly patients with hypertension. Methods 122 cases of elderly hypertension patients were divided into ABI abnormal group (n = 64) and ABI normal group (n = 58) ,measuring ABI and blood pressure variability of patients respectively. Then made an analysis of the relationship between them. Results In addition to age,course of disease,BMI,TC, TG,HDL-C,there are other independent risk factors,which include 24hSBPSD,24hSBPCV,dSBPSD,dSBPCV,nSBPSD,nSBPCV,connected with ABI in elderly hypertensive patients. Conclusion For elderly hypertensive patients,besides controlling the blood pressure and intervening some traditional risk factors like BMI,TC,TG,HDL-C,attention also should be paid to reduce the variability of blood pressure,thereby reducing the target organ damage and cardiovascular events.
作者 杜荣生 李沂
出处 《临床合理用药杂志》 2013年第14期3-5,共3页 Chinese Journal of Clinical Rational Drug Use
关键词 踝肱指数 血压变异性 高血压病 老年 Ankle-brachial index Blood pressure variability Hypertension Elderly
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