46例偶测血压正常青壮年糖尿病患者的动态血压分析  

Analysis of ambulatory blood pressure in incidentally normotensive young and middle-aged patients with type Ⅱ diabetes

作　　者：罗劲华[1] 

机构地区：[1]广州市东山区人民医院功能科,广州510080

出　　处：《广东医学院学报》2004年第3期233-234,共2页Journal of Guangdong Medical College

摘　　要：目的 :探讨青壮年糖尿病患者在偶测血压增高之前其动态血压是否已有改变。方法 :对 4 6例 4 5岁以下偶测血压正常的青壮年 2型糖尿病患者 (A组 )及 4 1例健康人 (B组 )进行动态血压监测 ,对各种血压参数进行比较。结果 :A组 2 4 h平均收缩压、白天收缩压、夜间收缩压、各项血压负荷值均高于 B组 ,差异有显著性 (P<0 .0 1 ) ;昼夜血压节律异常率 A组高于 B组 (P<0 .0 1 )。结论 :青壮年糖尿病患者动态血压改变表现为收缩压升高、昼夜节律改变及血压负荷增高 ,提示有早期高血压倾向及可能造成靶器官功能损坏 。Objective: To observe the change of ambulatory blood pressure in incidentally normotensive young and middle-aged patients with type Ⅱ diabetes. Method: Forty-six incidentally normotensive patients aged 27-44 with type II diabetes (group A) and 41 healthy persons aged 25-45 (group B) received 24-h ambulatory blood pressure monitoring. Results: The 24-h mean systolic pressure, daytime and nighttime systolic pressure, load pressure, and abnormally circadian rhythm of blood pressure were higher in group A than those in group B (P<0.01). Conclusion: The young and middle-aged patients with type Ⅱ diabetes present the increase of systolic pressure and load pressure, and abnormally circadian rhythm of blood pressure, suggesting that they are susceptible to have earlier period of hypertension and thus their target organ function could be damaged. Therefore, it is necessary to take the intervention measures for these patients.

关 键 词：血压监测 2型糖尿病 昼夜节律 

分 类 号：R587.1[医药卫生—内分泌]