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健康老年人24小时动态血压监测:参考值

Twenty-four-hour ambulatory blood pressure monitoring in healthy elderly people: reference values.

作者信息

Lee D R, Swift C G, Jackson S H

机构信息

Department of Health Care of the Elderly, King's College School of Medicine and Dentistry, Denmark Hill, London.

出版信息

Age Ageing. 1995 Mar;24(2):91-5. doi: 10.1093/ageing/24.2.91.

DOI:10.1093/ageing/24.2.91
PMID:7793342
Abstract

One hundred and two healthy elderly volunteers (aged 65-83 years) underwent 24-hour ambulatory blood pressure monitoring. Mean day- and night-time pressures were higher than reported for younger subjects. Removing outlying BP measurements from individual 24-hour recordings only minimally affected mean figures of the group but in some individuals mean day diastolic BP may be up to 5 mmHg lower on editing. Using unedited data, mean day and night pressures were 134/81 mmHg and 119/67 mmHg respectively (corresponding 95th centiles 160/96 mmHg and 146/84 mmHg) and systolic and diastolic BP loads were 36% and 21%. These values may be used as temporary reference values for elderly subjects pending the results of longitudinal studies. Studies quoting ABPM data should specify whether data editing has been employed and, if so, the editing thresholds should be stated.

摘要

102名健康老年志愿者(年龄65 - 83岁)接受了24小时动态血压监测。日间和夜间平均血压高于较年轻受试者的报告值。从个体24小时记录中去除异常血压测量值对该组平均数值的影响极小,但在一些个体中,编辑后的日间舒张压平均值可能会降低多达5 mmHg。使用未编辑数据时,日间和夜间平均血压分别为134/81 mmHg和119/67 mmHg(相应的第95百分位数为160/96 mmHg和146/84 mmHg),收缩压和舒张压负荷分别为36%和21%。在纵向研究结果出来之前,这些值可作为老年受试者的临时参考值。引用动态血压监测数据的研究应指明是否采用了数据编辑,如果采用了,应说明编辑阈值。

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