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阪神-淡路大地震对原发性高血压患者家庭血压的影响。

Effect of the Hanshin-Awaji earthquake on home blood pressure in patients with essential hypertension.

作者信息

Minami J, Kawano Y, Ishimitsu T, Yoshimi H, Takishita S

机构信息

Division of Hypertension, National Cardiovascular Center, Suita, Japan.

出版信息

Am J Hypertens. 1997 Feb;10(2):222-5. doi: 10.1016/s0895-7061(96)00328-7.

DOI:10.1016/s0895-7061(96)00328-7
PMID:9037332
Abstract

At 5:46 AM on January 17, 1995, the Hanshin-Awaji district of Japan was struck by a major earthquake. We investigated changes in home blood pressure (BP) of 36 hypertensive patients before and after the earthquake. In the 16 patients who lived within 50 km from the epicenter, the home Bp on the day of the earthquake was significantly higher than that just before the earthquake (+11/+6 mm Hg; P < .01 for systolic BP and P < .05 for diastolic BP). It remained higher throughout the first week after the earthquake, then gradually returned to the baseline level within 4 weeks. The home BP did not change significantly in the 20 patients who lived farther than 50 km from the epicenter. The earthquake-induced stress increased the BP in these hypertensive patients; however, its pressor effect was not persistent.

摘要

1995年1月17日凌晨5点46分,日本阪神-淡路地区遭受了一场大地震。我们调查了36名高血压患者在地震前后家庭血压(BP)的变化。在距离震中50公里以内居住的16名患者中,地震当天的家庭血压显著高于地震前(收缩压升高11/舒张压升高6毫米汞柱;收缩压P <.01,舒张压P <.05)。在地震后的第一周内血压一直较高,然后在4周内逐渐恢复到基线水平。在距离震中超过50公里居住的20名患者中,家庭血压没有显著变化。地震引发的压力使这些高血压患者的血压升高;然而,其升压作用并非持续存在。

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