急性高原肺水肿患者动态血压的临床研究  

Study on ambulatory blood pressure monitoring in patients with acute high altitude pulmonary edema

作　　者：王岩飞[1] 岑维浚[1] 格桑罗布[1] 平措扎西[1] 庄兰平[1] 次旦罗布[1] 达娃次仁[1] 李奎[1] 

机构地区：[1]西藏自治区人民医院高山病心血管病科西藏高山病心血管病研究所,拉萨850000

出　　处：《中华心血管病杂志》2002年第4期246-248,共3页Chinese Journal of Cardiology

摘　　要：目的　探讨急性高原肺水肿患者动态血压的特点。方法　应用美国Spacelabs 90 2 0 7型动态血压记录仪 ,测定 37例急性高原肺水肿患者 2 4h动态血压与正常参照值比较。结果　急性高原肺水肿患者 2 4h动态血压整体水平较正常参照值无明显差异 (P >0 0 5 ) ,收缩压夜间较白昼下降4 3% ,有非常显著性差异 (P <0 0 1) ;舒张压夜间较白昼下降 4 4% ,有显著性差异 (P <0 0 5 )。有 30例患者的动态血压曲线呈非杓型改变。结论　急性高原肺水肿患者 2 4h动态血压整体水平较正常人无明显改变 ,但血压昼夜节律消失。Objective To investigate the characteristics of the ambulatory blood pressure monitoring (ABPM) in patients with acute high altitude pulmonary edema(AHAPE). Methods Twenty-four h ambulactory blood pressure was measured for 37 patients with AHAPE by a ABPM monitor(Spacelab 90207). The results were compared with normal reference values. Results There was no difference between 24 h blood pressure of patients with AHAPE and normal reference ( P >0.05). The night systolic blood pressure was 4.3% lower than day systolic blood pressure ( P <0.01), the night diastolic blood pressure was 4.4% lower than the day diastolic blood pressure ( P <0.05). ABPM curve of 30 (81%) patients with AHAPE showed non-dipper change. Conclusion Twenty-four h ambulatory BP of patients with AHAPE was not different from normal people, but their circadian BP rhythm disappeared.

关 键 词：急性高原肺水肿 动态血压 临床研究 

分 类 号：R594.3[医药卫生—内科学]