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2型糖尿病合并高血压患者动态血压分析
引用本文:葛正庆,董建新,王宝芝,李珂,鲁跃华.2型糖尿病合并高血压患者动态血压分析[J].四川医学,2009,30(1):29-30.
作者姓名:葛正庆  董建新  王宝芝  李珂  鲁跃华
作者单位:1. 成都铁路中心医院心内科,四川,成都,610081
2. 山东滨化集团职工医院,山东,滨州,256611
摘    要:目的了解2型糖尿病合并高血压患者的动态血压特点。方法对所有患者进行24h动态血压监测(24hABPM)。结果2型糖尿病合并高血压患者昼夜节律消失率、24hSBP、nSBP、24hPP、nPP、栅明显高于单纯高血压组,差异有统计学意义(P〈0.05);而dSBP、24hDBP、dDBP、nDBP、dPP、24MbP、dMBP则差异无统计学意义(P〉0.05)。结论糖尿病合并高血压患者正常诗杓型动态血压节律消失较明显,收缩压负荷、夜间收缩压升高明显。靶器官损害与血压节律异常可能有一定关系。

关 键 词:高血压  2型糖尿病  24h动态血压监测  动态血压节律

The comparison on anbulatory blood pressure of essential hypertension with 2-type diabetes mellitus
Institution:GE Zheng-qing, DONG Jian-xin, WANG Bao-zhi, et al(1. Department of Cardiology, The Central Hospital of Chengdu Railroad, Chengdu, Sichuan 610081, China; 2. Shandong Binhua Group of Hospital Employees, Binzhou , Shandong 256611, China)
Abstract:Objective To study the ambulatory blood pressure feature of 2-type diabetes mellitus with essentiat hypertension.Methods 24hABPM were measured in all hypertensive patients.Results The rate circadian rhythm disappearance of blood pressure,24KSBP,nSBP、24hPP,nPP,nMBP in the group of essential hypertension with 2-type diabetes melltus were significantly high than that in the group of essential hypertension without 2-type diabetes mellitus. There have significantly difference( P 〈 0.05). however, there were no significantly diference( P〉 0.05)in dSBP,24hDBP, dDBP, nDB, dPP,24hMBP, dMBP.Condusion essential hypertension with 2-type diabetes mellitus patients have lost the normal dipper rhythm of ambulatory blood pressure obviously,especially rising in stress of SBP,nSBP.There may be certain inherent relations between target organ and abnormality of rhythm of blood pressure
Keywords:essential hypertension  2-type diabetes meUitus  PA hour ambulatory blood pressure monitoring  rhythm of ambulatory blood pressure
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