社区老年高血压病人动态动脉硬化指数影响因素的研究

[目的]研究社区老年原发性高血压病人动态动脉硬化指数（AASI）的影响因素。[方法]选择王顶堤社区医院门诊就诊的95例老年原发性高血压病人,采用一般社会人口学资料调查、24 h动态血压监测并计算动态动脉硬化指数,比较不同特征人群AASI的差异,分析影响AASI的因素。[结果]Pearson相关分析结果显示AASI与BMI、日间收缩压、24 h收缩压、日间脉压2、4 h脉压及日舒张压变异之间相关性有统计学意义;多因素Logistic回归分析显示AASI影响因素有24 h舒张压变异及日间收缩压。[结论]AASI受24 h舒张压变异、日间收缩压的影响。

Study on factors of influencing ambulatory arterial stiffness index of elderly patients with hypertension in community

Objective：To study on influencing factors of ambulatory arterial stiffness index（AASI） of elderly patients with hypertension in community.Method：A total of 95 senile patients with primary hypertension pay visit to hospital of Wangdingdi community were selected.By adopting the general social demographic data survey,all patients were given 24 h continuous blood pressure monitoring and calculated the ambulatory arterial stiffness index.The differences of AASI of different population characteristics were compared.And the influencing factors of AASI were analyzed.Results：Peason correlation analysis showed that AASI and BMI,daytime systolic blood pressure,24 h systolic blood pressure,daytime pulse pressure,24 h pulse pressure and daily diastolic blood pressure variation were statistically significant.Multiple factors Logistic regression analysis showed that 24 h diastolic blood pressure variability and daytime systolic blood pressure were the influencing factors of AASI.Conclusion：The AASI level was influenced by 24 h diastolic blood pressure variability and daily systolic blood pressure.