糖耐量低减患者动态血压的改变

为观察糖耐量低减（ＩＧＴ）患者动态血压（ＡＢＰＭ）的改变，对血压正常和血压增高的ＩＧＴ患者各２０例进行２４小时ＡＢＰＭ监测及各项生化指标检查，并设有糖耐量正常组和糖尿病组进行对照研究。结果ＩＧＴ患者２４小时ＡＢＰＭ的变化与糖耐量正常者相似，但具有夜间血压增高和昼夜血压差值减小的趋势。血压昼夜节律异常的ＩＧＴ患者ＡＢＰＭ的改变为夜间血压升高。表明ＩＧＴ患者已开始出现早期的血压改变。

24 HOURS AMBULATORY BLOOD PRESSURE IN IMPAIRED GLUCOSE TOLERANCE PATIENTS

We investigated the change of 24 hours ambulatory blood pressure (ABPM) in impaired glucose tolerance (IGT) patients. 40 IGT patients were divided into two group: normotension and hypertension groups. Each group was matched with normal glucose tolerance (NGT) and non insulin dependent diabetes mellitus (NIDDM) group. All the patients were subjected to ABPM and biochemical index examination. The profile of ABPM in IGT patients with or without hypertension was investigated. The change of the 24 hours blood pressure in both normotensive and hypertensive IGT patients was similar with NGT, but there was a tendency that night blood pressure was increased and nocturnal blood pressure was decreased in IGT. The change of ABPM in those with abnormal circadian rhythm was elevated night blood pressure.