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[26至65岁高血压患者血压曲线的动态监测]

[Ambulatory monitoring of blood pressure profiles in in hypertensive patients 26-65 years of age].

作者信息

Fariello R, Boni E, Crippa M, Damiani G, Mangoni P, Corda L, Zaninelli A, Alicandri C

机构信息

I Divisione Medica, Spedali Civili, Brescia.

出版信息

Cardiologia. 1995 May;40(5):315-27.

PMID:8529243
Abstract

We evaluated blood pressure profile in a population of 380 untreated hypertensives (210 males, 170 females, stage 1 and 2 JNC 1993) observed consecutively. A 24-hour ambulatory blood pressure monitoring was performed using and A&D TM 2420 model 6 device programmed to measure systolic and diastolic blood pressure every 15 min from 7 am to 10 pm (daytime) and every 30 min from 10 pm to 7 am (night-time). Statistical analysis was carried out by dividing the patients into four groups on the basis of age: Group I, from 26 to 35 years (26 males, 14 females); Group II, from 36 to 45 years (48 males, 39 females); Group III, from 46 to 55 years (85 males, 72 females); Group IV, from 56 to 65 years (51 males, 45 females). Systolic blood pressure was higher in older male hypertensives (56 to 65 years) who also had a persistent systolic blood pressure elevation during night-time (non-dippers); diastolic blood pressure was significantly higher in male hypertensives aged 36 to 55 years.

摘要

我们对连续观察的380例未经治疗的高血压患者(210例男性,170例女性,1993年美国国家联合委员会1期和2期)的血压情况进行了评估。使用A&D TM 2420型号6设备进行24小时动态血压监测,该设备设置为从上午7点至晚上10点(白天)每15分钟测量一次收缩压和舒张压,从晚上10点至上午7点(夜间)每30分钟测量一次。根据年龄将患者分为四组进行统计分析:第一组,26至35岁(26例男性,14例女性);第二组,36至45岁(48例男性,39例女性);第三组,46至55岁(85例男性,72例女性);第四组,56至65岁(51例男性,45例女性)。年龄较大的男性高血压患者(56至65岁)收缩压较高,且夜间收缩压持续升高(非勺型血压);36至55岁的男性高血压患者舒张压显著较高。

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