论文部分内容阅读
为了解肝硬化病人收缩压(SBF)、舒张压(DBP)、平均动脉压(MAP)和心率(HR)的变化,尤其是昼夜节律的变化,采用24h动态血压仪(ABP)对21例肝硬化病人和21例健康对照者进行监测.结果显示在白天,硬化组的血压低于对照组(平均14.4 kPa vs. 15.4kPa,P<0.05;9.0kPavs.10.1 kPa;10.8 kPa vs.11.8kPa,P<0.01),夜间血压二组基本接近(13.2kPa vs 14.0kPa;8.1kPa vs.8.2 kPa;9.8 kPa vs.10.5 kPa,P>0.05),而心率无论白天和夜间均高于对照组(85次/minvs.77次/min;77次/min vs.68次/min,P<0.05).两组的血压和心率从白天到夜间均逐渐下降,硬化组血压下降的幅度低于对照组(P<0.01).提示肝硬化病人的昼夜血压调节有一定障碍.
To understand the changes of systolic blood pressure (SBF), diastolic blood pressure (DBP), mean arterial pressure (MAP) and heart rate (HR) in cirrhotic patients, especially the circadian rhythm, Sclerosis patients and 21 healthy controls were monitored.The results showed that in the daytime, the blood pressure of the sclerotic group was lower than that of the control group (mean 14.4 kPa vs. 15.4 kPa, P <0.05; 9.0 kPavs.10.1 kPa; 10.8 kPa vs.11.8 kPa, (P <0.01). The nocturnal blood pressure was similar between the two groups (13.2 kPa vs 14.0 kPa; 8.1 kPa vs. 8.2 kPa; 9.8 kPa vs. 10.5 kPa, P> 0.05) Times / min vs 77 times / min; 77 times / min vs.68 times / min, P <0.05) .The blood pressure and heart rate of both groups decreased gradually from daytime to nighttime, and the decrease of blood pressure in sclerosis group was lower than that in control group P <0.01), suggesting that patients with cirrhosis of the diurnal blood pressure regulation have some obstacles.