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原发性高血压患者血压变异性与维生素B水平的关系。

Relationship between blood pressure variability and vitamin B level in essential hypertension.

作者信息

Bian X-Y, Cui C, Zhang Q-Y

机构信息

Institute of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong, China.

Department of Cardiology, Zibo Hospital of Traditional Chinese Medicine, Zibo 255300, Shandong, China.

出版信息

J Physiol Pharmacol. 2025 Feb;76(1). doi: 10.26402/jpp.2025.1.02. Epub 2025 Mar 18.

Abstract

The B vitamins have been observed to positively influence the prevention of hypertension, with higher intakes of vitamins B6 and B12 shown to reduce blood pressure in hypertensive patients. This study investigated the relationship between blood pressure variability (BPV) and B vitamin levels in patients with essential hypertension (EH). A total of 100 patients with EH and 100 healthy control subjects were selected. BPV indices were measured using ambulatory blood pressure monitoring, which included daytime systolic blood pressure (dSBP), daytime diastolic blood pressure (dDBP), night SBP (nSBP), night DBP (nDBP), 24-hour SBP (24hSBP), 24-hour DBP (24hDBP), 24-hour SBP standard deviation (24hSSD), 24hDBP standard deviation (24hDSD), daytime SBP standard deviation (dSSD), daytime DBP standard deviation (dDSD). Blood samples were collected to measure vitamin B6 and B12 levels. Compared to the healthy group, vitamin B6 and B12 levels in the EH group were significantly lower (P<0.05). Additionally, dSBP, dDBP, nSBP, nDBP, 24hSBP, 24hDBP, 24hSSD, 24hDSD, dSSD, dDSD, nSSD, and nDSD were significantly higher in the EH group than in the healthy group (P<0.05). BPV indices were also significantly lower in the group with higher vitamin B6 and B12 levels compared to the group with lower levels (P<0.05). Furthermore, vitamin B6 and B12 levels in the EH group were negatively correlated with BPV indices (P<0.05). To sum up BPV in patients with EH is associated with B vitamin levels, which may play a role in the progression and control of hypertension-related diseases.

摘要

已观察到B族维生素对预防高血压有积极影响,较高的维生素B6和B12摄入量可降低高血压患者的血压。本研究调查了原发性高血压(EH)患者的血压变异性(BPV)与B族维生素水平之间的关系。共选取了100例EH患者和100例健康对照者。使用动态血压监测测量BPV指标,包括日间收缩压(dSBP)、日间舒张压(dDBP)、夜间收缩压(nSBP)、夜间舒张压(nDBP)、24小时收缩压(24hSBP)、24小时舒张压(24hDBP)、24小时收缩压标准差(24hSSD)、24hDBP标准差(24hDSD)、日间收缩压标准差(dSSD)、日间舒张压标准差(dDSD)。采集血样以测量维生素B6和B12水平。与健康组相比,EH组的维生素B6和B12水平显著降低(P<0.05)。此外,EH组的dSBP、dDBP、nSBP、nDBP、24hSBP、24hDBP、24hSSD、24hDSD、dSSD、dDSD、nSSD和nDSD显著高于健康组(P<0.05)。维生素B6和B12水平较高的组的BPV指标也显著低于水平较低的组(P<0.05)。此外,EH组的维生素B6和B12水平与BPV指标呈负相关(P<0.05)。综上所述,EH患者的BPV与B族维生素水平相关,这可能在高血压相关疾病的进展和控制中起作用。

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