高血压合并2型糖尿病患者的动态血压变化探讨

目的探讨高血压病(EH)并发2型糖尿病(DM)病人的动态血压特点。方法对高血压病合并糖尿病组60例,高血压无糖尿病组60例患者行24h动态血压监测。结果EH合并DM患者与单纯EH患者相比,各时段均有更高的SBP和脉压(P<0.05),而全天DBP无明显差异;血压变异率明显低于EH组,昼夜节律异常发生率明显高于EH组,有显著性差异(P<0.01)。结论EH合并DM的患者昼夜血压调节功能受损明显。

PROBE INTO THE DYNAMIC BLOOD PRESSURE IN PATIENTS WITH HYPERTENSION COMPLICATED WITH DIABETES TYPE 2

Objective To analyze the dynamic blood pressure of hypertension patients complicated with diabetes type2. Methods 120 cases of patients with essential hypertension,from Jan. 2004 to April. 2005, were randomized into essential hypertension (EH) group and essential hypertension with diabetes type2 (EH+DM) group. 24 h dynamic blood pressure (DBP) was taken. Results EH+DM group has significant higher SBP、 SBP load and pulse pressure than EH group (P<0.05), and EH+DM group have more abnormal circadian blood pressure rhythm than EH group (P<0.01). Conclusion In the patients with hypertension complicated with diabetes type 2 mostly have higher SBP, SBP load and pulse pressure; normal circadian blood pressure rhythm regulation function was damaged evidently.