肾血管性高血压与原发性高血压患者动态血压的差异研究  

Difference of ambulatory blood pressure in patients with renovascular hypertensive and essential hypertensive

作　　者：熊宁[1] 彭志群[1] 吴金飞[1] 罗恋[1] 

机构地区：[1]解放军184医院心血管内科,江西鹰潭335000

出　　处：《东南国防医药》2013年第2期144-146,共3页Military Medical Journal of Southeast China

摘　　要：目的通过对比肾血管性高血压(RVH)与原发性高血压(EH)患者24 h动态血压,以研究两者之间的差异。方法应用动态血压监测仪测定30例RVH患者的24 h动态血压,同时选择30例年龄、性别与之相匹配的EH患者行24 h动态血压测定,比较两者之间的差异。结果 RVH组患者24 h、白昼、夜间的收缩压、舒张压及脉压测定的平均值,均高于EH组(P<0.01);RVH组患者的24 h收缩压负荷、舒张压负荷分别为58.33%和38.41%,而EH组患者则为29.01%和22.38%,两组比较差异有统计学意义(P<0.05))。EH组有63.30%的患者夜间血压下降率>10%,血压曲线以杓型为主;而RVH组只有26.70%的患者夜间血压下降率≥10%,血压曲线以非杓型为主。结论 RVH患者动态血压均值和血压负荷增加明显,昼夜节律减弱。Objective To observe the difference of ambulatory blood pressure in 24h between patients with renovascular hypertension and essential hypertension.Methods The 24 h ambulatory blood pressure was monitored in 30 patients with essential hypertension and 30 patients with age and gender matched renovascular hypertension.Results The 24 h,daytime and nighttime systolic blood pressure(SBP),diastolic blood pressure(DBP) and pluse pressure(PP) in RVH were significantly higher than in EH(P<0.01).The SBP and DBP loads in RVH were 58.33% and 38.41% respectively,while blood pressure loads were 29.01% and 22.38% in EH(P<0.05).In patients with RVH,only 26.70% patients were dippers,while 63.30% in EH.Conclusion RVH patients have higher dynamic BP,BP loads and blunted rhythm compared to those with EH.

关 键 词：高血压 肾性 血压监测 便携式 

分 类 号：R544.1[医药卫生—心血管疾病]