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[原发性高血压患者个体24小时血压曲线的节律分析]

[Rhythm analysis of individual 24-hour blood pressure profiles of patients with essential hypertension].

作者信息

Witte K, Lemmer B

机构信息

Zentrum der Pharmakologie, J. W. Goethe-Universität, Frankfurt.

出版信息

Z Kardiol. 1992;81 Suppl 2:101-4.

PMID:1514304
Abstract

Circadian rhythms in ambulatory blood pressure profiles of eight primary hypertensive patients were analyzed by nonlinear fit of a combined cosine function. Significant circadian variation in systolic blood pressure was found in each patient, and in diastolic blood pressure in seven out of eight patients. The eight primary hypertensive subjects revealed typical circadian blood-pressure profiles with two daytime maxima and a single nighttime minimum. Whereas daytime maxima differed between the subjects, all nighttime minima occurred within a narrow range of 1:54 a.m. to 4:42 a.m. The PHARMFIT-program allows to analyze in more detail the circadian blood pressure profiles obtained by ABPM in single patients as well as in a group of hypertensives.

摘要

通过联合余弦函数的非线性拟合,分析了8例原发性高血压患者动态血压曲线中的昼夜节律。发现每位患者的收缩压均有显著的昼夜变化,8例患者中有7例舒张压有昼夜变化。这8例原发性高血压受试者呈现出典型的昼夜血压曲线,有两个白天血压最大值和一个夜间血压最小值。虽然受试者之间白天的血压最大值有所不同,但所有夜间血压最小值都出现在凌晨1:54至4:42的狭窄范围内。PHARMFIT程序可以更详细地分析通过动态血压监测在单例患者以及一组高血压患者中获得的昼夜血压曲线。

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