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目的分析动态血压监测在老年高血压合并靶器官损害患者中的临床应用价值。方法选取医院2015年1~6月入院的高血压合并靶器官损害患者40例(靶器官损害组),同期无靶器官损害的高血压患者40例(非靶器官损害组)。比较2组患者的血压昼夜节律、变异值情况。结果靶器官损害组血压水平明显高于非靶器官损害组,差异均有统计学意义(P<0.05)。靶器官损害组收缩压变异大于非靶器官损害组,差异有统计学意义(P<0.05),2组舒张压变异值比较差异无统计学意义(P>0.05)。结论老年高血压合并靶器官损害患者通过动态血压监测后产生的临床价值十分显著,老年高血压合并靶器官损害与血压昼夜节律及变异性情况具有密切关系。
Objective To analyze the clinical value of ambulatory blood pressure monitoring in elderly patients with hypertension and target organ damage. Methods Forty patients (target organ damage group) and 40 patients with non-target organ damage (non-target organ damage group) were enrolled in the hospital from January to June 2015. Blood pressure circadian rhythm and variability were compared between the two groups. Results The blood pressure of target organ damage group was significantly higher than that of non-target organ damage group (P <0.05). The difference of systolic blood pressure between the target organ damage group and the non-target organ damage group was statistically significant (P <0.05). There was no significant difference in the diastolic blood pressure variability between the two groups (P> 0.05). Conclusion The clinical value of ambulatory blood pressure monitoring in patients with senile hypertension complicating target organ damage is very significant. The impairment of target organ with senile hypertension is closely related to the circadian rhythm and variability of blood pressure.