老老年高血压病患者昼夜血压节律对颈动脉硬化的影响 |
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引用本文: | 胡元会,石洁,商秀洋,褚瑜光,吴华芹,李宜.老老年高血压病患者昼夜血压节律对颈动脉硬化的影响[J].中医药研究,2011(2):131-133. |
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作者姓名: | 胡元会 石洁 商秀洋 褚瑜光 吴华芹 李宜 |
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作者单位: | 中国中医科学院广安门医院,100053 |
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摘 要: | 目的探讨老老年高血压病患者昼夜血压节律对颈动脉硬化的影响。方法应用24h动态血压监测仪监测82例年龄≥80岁的高血压病患者血压水平,根据夜间血压下降率将患者分为非杓型组和杓型组。测定两组患者颈动脉内膜中层厚度(IMT)。结果非杓型组与杓型组的IMT分别为(0.17±0.08)cm、(0.14±0.04)cm,差异有统计学意义(P〈0.01)。结论昼夜血压节律异常的老老年高血压病患者颈动脉硬化更明显。
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关 键 词: | 老老年 高血压病 颈动脉硬化 昼夜血压节律 |
Influence of Circadian Blood Pressure Rhythm on Carotid Intima Media Thickness in Aged Patients with Hypertension |
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Institution: | Hu Yuanhui,Shi Jie,Shang Xiuyang,et al Department of Cardiology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences(Beijing 100053) |
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Abstract: | Objective To investigate the influence of circadian blood pressure rhythm on carotid intima media thickness(IMT) in the aged patients(pts)(age≥80 years old) with hypertension.Methods Based on blood pressure decreasing rate(BPDR) at night,82 aged pts were divided into two groups:Non-dipper group(BPDR10%) and dipper group(BPDR ≥10%).The circadian blood pressure rhythm was measured with ambulatory blood pressure monitoring and carotid IMT were measured with echocardiography.Results The IMT was 0.17 cm±0.08 cm in non-dipper group,which was more than that in dipper group(0.14 cm±0.04 cm,P0.01).Conclusion Abnormal circadian blood pressure rhythm could induce thicker carotid intima media in the very aged pts with hypertension. |
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Keywords: | elderly hypertension carotid atherosclerosis blood pressure circadian rhythm |
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