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目的研究合并2型糖尿病的老年高血压患者血压变异性的特点。方法选取老年高血压患者105例作为观察组,分为单纯高血压患者和合并2型糖尿病的高血压患者,选取同期健康体检者80例为对照组,进行动态血压监测,比较各组之间24h的SBP及DBP平均值,白天及夜间SBP及DBP平均值。结果观察组的24h的SBP及DBP平均值,白天及夜间SBP及DBP平均值均较对照组异常率高,差异有统计学意义;Ⅱ组的24h的SBP及DBP平均值,白天及夜间SBP及DBP平均值均高于Ⅰ组,差异有统计学意义(P<0.05)。结论合并2型糖尿病的老年高血压患者血压波动幅度大,血压变异性增高,及时监测其动态变化可防疾病进展。
Objective To study the characteristics of blood pressure variability in elderly patients with type 2 diabetes mellitus. Methods 105 senile hypertensive patients were selected as the observation group and were divided into hypertensive patients and hypertensive patients with type 2 diabetes mellitus. Eighty patients in the same period were selected as the control group, and ambulatory blood pressure monitoring was performed. SBP and DBP mean, day and night SBP and DBP average. Results The SBP and DBP mean values of SBP and DBP in the observation group were higher than those in the control group at daytime and nighttime, the difference was statistically significant. The average SBP and DBP at 24h, SBP at daytime and nighttime, The average of DBP was higher than that of group Ⅰ, the difference was statistically significant (P <0.05). Conclusions The elderly patients with type 2 diabetes mellitus have large fluctuation of blood pressure and high blood pressure variability, and timely monitoring of the dynamic changes can prevent the progression of the disease.