血压变异性与老年高血压患者腔隙性脑梗死的关系  

Study on relationship between blood pressure variability and lacunar infarction in old patients with essential hypertension

作　　者：吴泽兵[1] 张颖[1] 谢军[1] 

机构地区：[1]安徽合肥市第一人民医院干部病房,合肥230061

出　　处：《中国临床保健杂志》2010年第3期261-262,共2页Chinese Journal of Clinical Healthcare

基　　金：合肥市科研计划项目(200926)

摘　　要：目的探讨老年高血压(EH)合并腔隙性脑梗死患者(LI)血压变异性(BPV)的特点。方法对41例EH患者、41例EH合并LI患者进行24h动态血压监测,计算24h平均收缩压(ASBP)、平均舒张压(ADBP)、收缩压变异性(SBPV)及舒张压变异性(DBPV),同时检测三酰甘油、总胆固醇、低密度脂蛋白、血尿酸。结果三酰甘油、总胆固醇、低密度脂蛋白、尿酸两组均无显著差异(P>0.05),而梗塞组的SBPV及DB-PV明显高于对照组(11.57±1.81vs8.02±1.63,15.06±3.74vs11.41±2.69;P<0.01)。结论老年高血压患者中腔隙性脑梗死的发生与血压变异性有关。Objective To explore the characteristics of blood pressure variability in old patients with hypertension complicated with lacunar infarction disease.Methods Ambulatory blood pressure were studied by 24-hour ambulatory blood pressure monitor in 41 cases of EH and 41 cases of EH with lacunar infarction,The SBPV and DBPV were calculated respectively.The triglyceride（TG）,total cholesterol（TC）,low-density lipoprotein（LDL）and uric acid（UA）were detected.Results The parameters of TG,TC,LDL,UA had no significant differences（P〉0.05）between the two groups.While the parameters of BPV in EH with LI group were significantly higher than those of EH group（P〈0.01）.Conclusion There were significant correlation between blood pressure variability and lacunar infarction in old patients with hypertension disease.

关 键 词：高血压 脑梗塞 血压监测 便携式 危险因素 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]