动态血压监测在评价老年高血压脑损害中的临床价值  

Clinical value of ambulatory blood pressure monitoring on brain damage in elderly patients with hypertension

作　　者：张桂芳[1] 

机构地区：[1]广东省深圳市宝安区松岗人民医院内科,广东深圳518105

出　　处：《吉林医学》2011年第13期2519-2521,共3页Jilin Medical Journal

摘　　要：目的:探讨动态血压监测在评价老年高血压脑损害中的临床价值。方法:对92例高血压患者进行24 h动态血压监测,根据是否有脑损害分为单纯高血压组50例(A组),脑损害组42例(B组),对两组动态血压值、血压昼夜节律、血压变异性及血压负荷值进行分析。结果:脑损害组的动态血压值、血压负荷值较单纯高血压组明显增高(P<0.05或P<0.01);脑损害组的血压昼夜节律异常明显增多(P<0.01)。结论:高血压患者24 h动态血压变化对预测高血压并发脑损害发生和指导合理治疗有重要意义。Objective To explore the clinical value of ambulatory blood pressure monitoring on brain damage in elderly patients with hypertension.Method Monitoring the 24-hour ambulatory blood pressure for the 92 cases of elderly patients with hypertension,according to whether there was brain damage,divided them into simplice hypertension group（group A） and brain damage group（group B）,analyzing ambulatory blood pressure values,blood pressure circadian rhythm,blood pressure variability（BPV） and blood pressure load （BPL） in each group.Results The values of ambulatory blood pressure and BPL in brain damage group were significantly higher（P0.05,P0.01） than the semplice hypertension group,the systolic BPV was increased significantly（P0.01） in brain damage group,the abnormal circadian blood pressure in brain damage group were increased significant（P0.01）.Conclusion There is important meaning in predicting the occurrence of brain damage of hypertension and guiding reasonable treatment to understand the changes of 24-hour ambulatory blood pressure in hypertensive patients.

关 键 词：高血压 动态血压监测 脑损害 

分 类 号：R544.1[医药卫生—心血管疾病]