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[动态高血压和稳定高血压患者动脉压变异性及阿替洛尔诱导变化的分析]

[Analysis of the variability of arterial pressure in patients with labile and stable hypertension and changes induced with atenolol].

作者信息

Palatini P, Pessina A C, Semplicini A, Moramio P, Casiglia E, Dal Palù C

出版信息

G Ital Cardiol. 1980;10(3):301-8.

PMID:7372046
Abstract

Blood pressure variability was studied in 8 "labile" and in 8 "established" hypertensive patients by means of continuous unrestricted blood pressure recording for 24 hours. In 7 of the former and 5 of the latter the effect of atenolol (200 mg/day) was also investigated. Blood pressure variability as judged by circadian rhythm, standard deviation, coefficient of variation, indexes of skewness and kurtosis was similar in the two groups. The only significant difference consisted in the mean arterial pressure which was higher in the established than in the labile hypertensives. Atenolol produced in all subjects a fall in blood pressure but no significant changes in the standard deviation, coefficient of variation and index of skewness. On the contrary the index of kurtosis significantly increased suggesting a more stable blood pressure after treatment.

摘要

通过连续24小时无限制血压记录,对8名“波动性”高血压患者和8名“持续性”高血压患者的血压变异性进行了研究。还对其中7名“波动性”高血压患者和5名“持续性”高血压患者研究了阿替洛尔(200毫克/天)的效果。根据昼夜节律、标准差、变异系数、偏度指数和峰度指数判断,两组的血压变异性相似。唯一显著的差异在于平均动脉压,持续性高血压患者的平均动脉压高于波动性高血压患者。阿替洛尔使所有受试者的血压下降,但标准差、变异系数和偏度指数无显著变化。相反,峰度指数显著增加,表明治疗后血压更稳定。

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