2型糖尿病并脑梗死动态血压变化及其影响因素研究

目的　探讨 2型糖尿病 (2 -DM)患者并初发脑梗死 (CI)动态压血改变的特点及其意义 .方法　配对方法观察 41例 2 -DM并初发CI与 41例一般CI患者的 2 4小时动态血压 (ABP)改变情况 .结果　 2 -DM并初发CI患者的 2 4小时收缩压负荷、白天和夜间收缩压较一般CI患者高 (p <0 .0 5 ) ,白天和夜间舒张压、2 4小时舒张压负荷两者无显著性差异 (p >0 .0 5 ) .结论　 2 -DM初发CI后 2 4小时收缩压负荷及夜间血压增高 ,可能是2 -DM患者CI再发率高的原因之一 .

The Profiles of Ambulatory Blood Pressure and Its Affected Factors in Type-2 Diabetes Mellitus Complicated with Cerebral Infarction

Objective Ambulatory blood pressure in type-2 diabetes mellitus (2-DM) complicated with firstly- onset cerebral infarction (CI).Methods Twenty-four hour ambulatory blood pressure was measured in 41 2-DM patients with CI and 41 non-diabetic patients with CI. Results In 2-DM patients with CI,24 hour systolic blood pressure load and nocturnal blood pressure were higher than non-diabetic patients with CI(p<0.005), there was no significant difference in 24 hour diastolic blood pressure load (p>0.05).Conclusions 24 hour systolic blood pressure load and high nocturnal blood pressure may be one of the reasons of the high-recurrent CI rate in 2-DM patients with CI.