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本文报道５０例老年人高血压病动态血压监测资料和动态心电图检查结果以分析动态血压与左室肥厚（ＬＶＨ）的关系。结果表明ＳＢＰ（２４小时，白昼，夜间）与ＬＶＨ呈显著正相关（ｒ分别为０．７０，０．５８，０．７０），而ＤＢＰ仅为弱相关（分别为０．３２，０．３３，０．２５），表明ＳＢＰ升高是老年人高血压左室肥厚的重要因素，而ＤＢＰ升高也起着一定的影响，血压负荷值（ＳＢＰ，ＤＢＰ）与ＬＶＨ呈正相关（分别为０．４７，０．２８），夜间血压下降率（ＳＢＰ，ＤＢＰ）与ＬＶＨ呈负相关（分别为－０．４７，－０．３１）。说明老年人高血压的治疗不仅要控制血压水平，同时要尽量恢复正常的血压昼夜规律
This article reports the 50 elderly hypertensive patients with ambulatory blood pressure monitoring data and dynamic electrocardiogram test results to analyze the relationship between ambulatory blood pressure and left ventricular hypertrophy (LVH). The results showed a significant positive correlation between SBP (24 hours, day and night) and LVH (r = 0.70,0.58,0.70, respectively), while DBP was only weakly correlated (0.32 and 0.33, respectively , 0.25), indicating that elevated SBP is an important factor in hypertensive left ventricular hypertrophy in the elderly, and elevated DBP also has a certain impact, blood pressure load values (SBP, DBP) and LVH were positively correlated (0. 47,0.28), nighttime blood pressure (SBP, DBP) was negatively correlated with LVH (-0.47, -0.31, respectively). Description of the treatment of hypertension in elderly not only to control blood pressure levels, but also try to restore normal circadian rhythm