| 血压昼夜节律与冠状动脉病变之间的关系 |
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| 引用本文： | 卞玲,殷兆芳,许左隽,张阿莲.血压昼夜节律与冠状动脉病变之间的关系[J].心血管康复医学杂志,2011,20(2):120-123. |
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| 作者姓名： | 卞玲 殷兆芳 许左隽 张阿莲 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院心血管科,上海市,200011 |
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| 摘 要： | 目的：探讨偶测血压控制良好的高血压患者的血压昼夜节律及其与冠状动脉病变之间的关系。方法：选择157例接受冠状动脉造影、偶测血压控制良好的原发性高血压患者。根据冠脉造影患者被分为单支病变组（n=51）,双支病变组（n=57）和多支病变组（n=49）。对所有患者进行24h动态血压（ABPM）监测,根据ABPM分为深杓型组（n=20）、杓型组（n=75）、非杓型组（n=53）和反杓型组（n=9）。探讨患者的血压昼夜节律与冠状动脉病变的关系。结果：从单支病变组到多支病变组,深杓型血压（23.5%∶12.3%∶2.0%）和杓型血压（56.9%∶49.1%∶36.7%）患者所占比例依次递减,非杓型（19.6%∶35.1%∶46.9%）和反杓型（0%∶3.5%∶14.3%）血压患者比例依次递增,且差异显著（P均〈0.05）。从深杓型组到反杓型组,单支病变患者所占比例依次递减（60.0%∶38.7%∶18.9%∶0%）,多支病变患者比例依次递增（5.0%∶24.0%∶43.4%∶77.8%）,差异具有显著性（P均〈0.05）。结论：偶测血压控制在正常范围时,血压昼夜节律的类型仍对冠状动脉病变产生严重的影响。
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| 关 键 词： | 血压 昼夜节律 冠状动脉疾病 |
Relationship between circadian rhythm of blood pressure and coronary artery lesions |
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| BIAN Ling,YIN Zhao-fang,XU Zuo-jun,ZHANG A-lian.Relationship between circadian rhythm of blood pressure and coronary artery lesions[J].Chinese Journal of Cardiovascular Rehabilitation Medicine,2011,20(2):120-123. |
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| Authors: | BIAN Ling YIN Zhao-fang XU Zuo-jun ZHANG A-lian |
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| Institution: | BIAN Ling,YIN Zhao-fang,XU Zuo-jun,ZHANG A-lian//Department of Cardiology,Shanghai Ninth People's Hospital,Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,200011,China |
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| Abstract: | Objective: To investigate circadian rhythm of blood pressure(BP)of essential hypertensive(EH)patients with satisfactory BP control by occasionally examine and its relation with coronary artery lesions.Methods: According to coronary angiography 157 EH patients with satisfactory BP control by occasionally examine were divided into single-vessel coronary disease group(51 cases),double-vessel coronary disease group(57 cases)and multi-vessel coronary disease group(49 cases).They were monitored by 24h ambulatory ... |
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| Keywords: | Blood pressure Circadian rhythm Coronary disease |
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