血管性认知障碍的动态血压检测分析  

The analysis of ambulatory blood pressure of vascular cognitive impairment

作　　者：卢平平[1] 周少锋[1] 傅伟明[2] 

机构地区：[1]杭州市第三人民医院特检科,浙江杭州310009 [2]浙江大学医学院附属第二医院神经科

出　　处：《中国临床新医学》2008年第B12期43-45,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的了解老年性高血压的血压与血管性认知障碍(VCI)的关系,探讨老年性高血压对血管性认知障碍的影响。方法对患有VCI者(A组)与非VCI者(B组)的老年性高血压病人的24h动态血压(ABP)的相关数据进行回顾性分析。结果A组的24h平均收缩压(24hMsBP)、平均脉压(24hMPP)、平均舒张压(24hMdBP)及平均动脉压(24hMAP)均低于B组。经t检验分析,两组相比差异有统计学意义(P<0.05)。结论老年性高血压的降压标准应该因人而异,尤其是伴有脑卒中者,过度降压可能对老年性认知功能产生不利影响。Objective To observe the association between blood pressure and vascular cognitive impairment （VCI） in people with senile essential hypertension （EH）and investigate the effect of senile EH on VCI. Methods Patients of senile EH were separated into A group with VCI and B group with non-VCI and the parameters of ambulatoryblcod pressure （ABP） were collected for review analysis. Results All arithmetic means including 24hMsBP,24hMPP,24hMdBP,24hMAP in A group were smaller than those of B group. There were significant differences between two groups （P 〈 0.05） via t test analysis. Conclusion Personal therapy method and standard should be emphasized in patients with senile EH, especially in those with acute stroke. Excessive reduction of BP and inappropriate antihypertensive therapy may induce negative effect on cegnitive function of aged people.

关 键 词：血管性认知障碍 动态血压 

分 类 号：R544.1[医药卫生—心血管疾病]