老年高血压并2型糖尿病患者动态血压特点  

Characteristics of ambulatory blood pressure monitor on elderly hypertensive patients with accompanying type 2 diabetes mellitus

作　　者：范穗光[1] 张久松[1] 陈佩贞[2] 

机构地区：[1]华南农业大学医院内科,广东省广州510642 [2]广州医学院第二附属医院心内科

出　　处：《中国基层医药》2008年第5期715-716,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省科技厅社会发展领域科技计划项目（73064）

摘　　要：目的了解老年高血压合并2型糖尿病患者动态血压特点。方法使用无创动态血压监测仪对46例老年高血压并2型糖尿病患者（试验组）及46例1级高血压患者（对照组）进行24h动态血压监测。结果试验组患者失去正常血压昼夜节律，尤以收缩压负荷、夜间收缩压升高为明显，与对照组相比，差异均有统计学意义（P〈0．01，P〈0．05）。结论对老年高血压合并2型糖尿病患者，降压治疗不仅要降低过高的血压，尚应24小时平稳降压和恢复其昼夜血压节律。Objective To study the relation between elderly hypertensive patients with accompanying type 2 diabetes mellitus and characteristics of ambulatory blood pressure. Methods 46 elderly hypertinsive patients with accompanying type 2 diabetes mellitns（experimental group） and 46 patients with essential hypertension（control group） through 24 hours use MEIGAOYI ambulatory blood pressure monitor. Results Comparison finds elderly hypertinsive patients with accompanying type 2 diabetes mellitus have lost normal blood pressure day and night rhythm, especially in aspect of obvious increasing of systolic pressure load and night systolic pressure. The results showed statistically significance（ P 〈 0.01, P 〈 0.05）. Conclusion For such elderly hypertinsive patients with accompanying type 2 diabetes mellitus treatment on high blood pressure should not only lower down too high blood pressure, but also lower down blood pressure steadily throughout 24 hours in the day and resume day ＆ night rhythm.

关 键 词：高血压 糖尿病 2型 血压监测 老年人 

分 类 号：R544[医药卫生—心血管疾病] R587[医药卫生—内科学]