摘要
目的探讨老年高血压患者血压晨峰现象与靶器官损害的相关性。方法选择2014年1月—2015年2月来本院治疗高血压的老年患者114例,分为2组各57例。对照组患者未出现血压晨峰现象,观察组患者出现血压晨峰现象。观察两组患者各项指标情况。计量资料比较采用t检验,P<0.05为差异有统计学意义。结果观察组患者的晨峰变异的幅度,24 h、白昼、夜间的平均收缩压[(20.77±5.36)、(151.49±12.58)、(160.01±13.11)、(147.36±15.04)mm Hg(1 mm Hg=0.133 k Pa)]均明显较高于对照组[(4.04±4.66)、(140.11±11.45)、(142.36±11.66)、(135.72±12.14)mm Hg],差异均有统计学意义(均P<0.05)。观察组患者在尿微量白蛋白、左心室质量指数、心电图QT离散度指标方面[(59.84±3.82)g/L、(171.49±17.38)g/m2、(69.96±19.36)ms]均高于对照组[(40.76±3.18)g/L、(151.14±18.86)g/m2、(51.36±16.89)ms],差异均有统计学意义(均P<0.05)。结论老年高血压患者出现血压晨峰现象对患者的靶器官损害较大。
Objective To explore the correlation between morning blood pressure surge and target organ damage in elderly hypertensive patients.Methods 114 cases of elderly patients with hypertension were selected from January 2014 to February 2015 in our hospital,114 cases were divided into two groups,57 cases each.Control group was the patients with blood pressure non- morning surge,observed group was the patients with blood pressure morning surge.The indicators were observed.Measurement data was processed by t test,P〈0.05 was considered statistically significant.Results The mean systolic pressure of range of morning surge,24 h,daytime and nighttime in observed group [（20.77±5.36）,（151.49±12.58）,（160.01±13.11）,（147.36±15.04）mm Hg（1 mm Hg=0.133 k Pa）] were significantly greater than control group [（4.04±4.66）,（140.11±11.45）,（142.36±11.66）,（135.72±12.14）mm Hg]（all P〈0.05）.Microalbuminuria,left ventricular mass index,dispersion of QT in electrocardiogram in observed group[（59.84±3.82）g/L,（171.49±17.38）g/m2,（69.96±19.36）ms] were significantly greater than control group[（40.76±3.18）g/L,（151.14±18.86）g/m2,（51.36±16.89）ms]（all P〈0.05）.Conclusion Morning blood pressure surge could aggravate target organ damsge in elderly hypertensive patients.
出处
《社区医学杂志》
2016年第4期16-18,共3页
Journal Of Community Medicine
关键词
老年高血压
血压晨峰现象
靶器官损害
Elderly hypertensive
Morning blood pressure surge phenomenon
Target organ damage
