肾实质性高血压24小时动态血压分析  

Analysis of 24h ambulatory blood pressure monitoring in renal hypertension

作　　者：洪丰颖[1] 黄海望[1] 曹建南[1] 黄世阳[1] 刘晓平[1] 

机构地区：[1]厦门市第二医院肾内科,福建厦门361026

出　　处：《心血管康复医学杂志》2005年第5期451-453,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析肾实质性高血压24小时动态血压变化。方法:实验组(A组)对象为经临床和实验室检查确诊的肾实质性高血压病人,共52例;对照组(B组)为同期随机抽取的我院52例轻、中度原发性高血压病人。两组均作动态血压检测(ABPM)。结果:A、B两组之间24小时收缩压、舒张压,白天收缩压、舒张压无显著性差异(P>0.05),夜间收缩压、舒张压则有高度显著性差异(P<0.01),夜间血压下降率A组收缩压、舒张压均<10%,B组则>10%,两组间亦有高度显著性差异(P<0.01)。结论:肾实质性高血压夜间收缩压、舒张压下降较少,昼夜节律减弱。Objective： To observe the change of 24h ambulatory blood pressure in patients with renal hypertension. Methods： The 52 patients with renal hypertension were observation group （group A）, and 52 patients with essential hypertension were control group （group B）. Ambulatory blood pressure monitoring was performed in two groups, Results： There were significantly difference in night systolic blood pressure （nSBP） and diastolic blood pressure （nDBP） between group A and B （P〈0.01）. Decrease rate of nSBP, nDBP in group A was less than 10%, that of group B was more than 10%, there was significantly difference between two groups （P〈0. 01）. Other indexes were no obviously difference. Conclusion： Circadian rhythm of blood pressure of renal hypertension decrease, must pay attention to its recovery in hypertensive therapy.

关 键 词：高血压 肾性 血压 血压监测 便携式 

分 类 号：R544.109[医药卫生—心血管疾病]