动态血压、偶测血压与高血压性视网膜病变相关性的研究  

A correlative study on hypertension retinopathy with casual and ambulatory blood pressure

作　　者：赵长龙[1] 胡光[2] 

机构地区：[1]安徽省凤台县人民医院眼科,232100 [2]安徽省凤台县人民医院内科,232100

出　　处：《临床眼科杂志》1999年第5期308-310,共3页Journal of Clinical Ophthalmology

摘　　要：目的研究２４ｈ动态血压与高血压性视网膜病变的关系。方法应用２４ｈ动态血压监测，并与偶测血压比较，以３１例正常血压者作对照，观察了９５例高血压病人的视网膜病变。结果２４ｈ、白昼、夜间平均血压及血压负荷与视网膜病变呈正相关（Ｐ＜０．０５），以舒张压与视网膜病变的相关性最为显著（Ｐ＜０．０１）。偶测舒张压与视网膜病变呈正相关（Ｐ＜０．０５），偶测收缩压与视网膜病变无相关性（Ｐ＞０．０５）。血压昼夜节律紊乱则视网膜病变较严重。组间两两比较正常血压组与高－正常血压组的视网膜病变无显著性差异（Ｐ＞０．０５），而正常血压组与１、２、３级高血压组间视网膜病变差异呈显著性（Ｐ＜０．０５）。结论动态血压与高血压性视网膜病变相关性要较偶测血压为好，舒张压增高对视网膜病变的作用更显著。To investigate the relationship casual/ambulatory blood pressure with hypertension retinopathy. Methods A correlative study on the Changes inretinopathy in 95 hypertensive patients and 31normalsubjects with casual and ambulatory blood pressurewere measured. Result 24h. daytime. nighttime - meanblood pressure and blood pressure load were significantly correlated with the changes in the retinography (P<0. 05), whereas the best correlation were between diastolic blood pressure (DBP) and the fundus Changes (P < 0. 01 ). casual DBP had correlation with fundus Changes (P <0. 05 ). There was no correlation betweencasual systolic blood pressure (SBP ) and the fundus Changes (P >0. 05). In the patients who disappesred ordiminished the cireadian variation of blood pressure,theretinopathy showed more severe.

关 键 词：动态血压 偶测血压 高血压性 视网膜病变 

分 类 号：R774.12[医药卫生—眼科] R544.106[医药卫生—临床医学]