24 小时动态血压监测发现高血压患者肾移植术后出现非杓型血压。
Non-dipper effect in hypertense patients after renal transplantation by 24-hour ambulatory blood pressure monitoring.
机构信息
Unidad de Trasplantes, Hospital General de Zona No. 50.
Coordinación de Educación e Investigación en Salud, Hospital General de Zona No. 50.
出版信息
Cir Cir. 2021;89(6):769-775. doi: 10.24875/CIRU.20001016.
OBJECTIVE
Determinate instant and after 1-month non-dipper effect in hypertense patients after renal transplant by 24-hour ambulatory blood pressure monitoring in Hospital General de Zona No. 50, San Luis Potosí, Mexico.
METHOD
Descriptive, longitudinal and prospective cohort study of a non-probability convenience sampling in post-transplant patients with hypertension. We collected data from MAPA and includes age, sex, cardiovascular risk factors in variables. Use of central tendency and dispersion measures for descriptive analysis and t Student for inferential analysis.
RESULTS
19 patients were included, 11 male (57.9%) and 8 females (42.1%), with age range 20 to 49 years (median of 30.2 years ± 7.7). Where the non-dipper effect in the first take was 89.5% and in the second take 84.2%.
CONCLUSIONS
There is a high frequency of the non-dipper pattern in patients at one month of kidney transplant, the persistence of this hypertension may be, among others, by the use of immunosuppressants. A new category for non-dipper classification is described.
目的
通过 24 小时动态血压监测，确定墨西哥圣路易斯波托西第 50 区综合医院肾移植后的高血压患者的即时和 1 个月非杓型效应。
方法
这是一项在高血压肾移植患者中进行的非概率便利抽样的描述性、纵向和前瞻性队列研究。我们从 MAPA 中收集数据，包括年龄、性别、心血管危险因素等变量。使用集中趋势和离散度指标进行描述性分析，使用 t 检验进行推断性分析。
结果
共纳入 19 名患者，男性 11 名（57.9%），女性 8 名（42.1%），年龄 20 至 49 岁（中位数 30.2 岁±7.7）。第一次测量时非杓型效应为 89.5%，第二次测量时为 84.2%。
结论
在肾移植后 1 个月的患者中，非杓型模式的发生率很高，这种高血压的持续存在可能与免疫抑制剂的使用等因素有关。本文还描述了一种新的非杓型分类类别。
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