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人类的血压变异性:其与高血压、年龄及压力反射敏感性的关系。

Blood pressure variability in man: its relation to high blood pressure, age and baroreflex sensitivity.

作者信息

Mancia G, Ferrari A, Gregorini L, Parati G, Pomidossi G, Bertinieri G, Grassi G, Zanchetti A

出版信息

Clin Sci (Lond). 1980 Dec;59 Suppl 6:401s-404s. doi: 10.1042/cs059401s.

DOI:10.1042/cs059401s
PMID:7449290
Abstract
  1. Intra-arterial blood pressure and heart rate were recorded for 24 h in ambulant hospitalized patients of variable age who had normal blood pressure or essential hypertension. Mean 24 h values, standard deviations and variation coefficient were obtained as the averages of values separately analysed for 48 consecutive half-hour periods. 2. In older subjects standard deviation and variation coefficient for mean arterial pressure were greater than in younger subjects with similar pressure values, whereas standard deviation and variation coefficient for mean arterial pressure were greater than in younger subjects with similar pressure values, whereas standard deviation aations and variation coefficient were obtained as the averages of values separately analysed for 48 consecurive half-hour periods. 2. In older subjects standard deviation and variation coefficient for mean arterial pressure were greater than in younger subjects with similar pressure values, whereas standard deviation and variation coefficient for heart rate were smaller. 3. In hypertensive subjects standard deviation for mean arterial pressure was greater than in normotensive subjects of similar ages, but this was not the case for variation coefficient, which was slightly smaller in the former than in the latter group. Normotensive and hypertensive subjects showed no difference in standard deviation and variation coefficient for heart rate. 4. In both normotensive and hypertensive subjects standard deviation and even more so variation coefficient were slightly or not related to arterial baroreflex sensitivity as measured by various methods (phenylephrine, neck suction etc.). 5. It is concluded that blood pressure variability increases and heart rate variability decreases with age, but that changes in variability are not so obvious in hypertension. Also, differences in variability among subjects are only marginally explained by differences in baroreflex function.
摘要
  1. 对年龄各异、血压正常或患有原发性高血压的住院走动患者的动脉内血压和心率进行了24小时记录。将连续48个半小时时段分别分析得到的值进行平均,得出24小时平均值、标准差和变异系数。2. 在年龄较大的受试者中,平均动脉压的标准差和变异系数大于血压值相似的较年轻受试者,而心率的标准差和变异系数则较小。3. 在高血压受试者中,平均动脉压的标准差大于年龄相似的血压正常受试者,但变异系数并非如此,前者的变异系数略小于后者。血压正常和高血压受试者在心率的标准差和变异系数方面无差异。4. 在血压正常和高血压受试者中,标准差乃至变异系数与通过多种方法(苯肾上腺素、颈部吸引等)测量的动脉压力反射敏感性略有相关或无相关性。5. 得出的结论是,血压变异性随年龄增加而增加,心率变异性随年龄降低,但变异性的变化在高血压中不那么明显。此外,受试者之间变异性的差异仅在很小程度上由压力反射功能的差异所解释。

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