老年人清晨血压与全天血压相关性探讨  

Relativity between morning blood pressure and 24-hour blood pressure in elderly people

作　　者：陈旭凤[1] 邓小艳[1] 樊静静[1] 林凡[1] 黄芬[1] 徐春芳[1] 杨晓云[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院心电图室,湖北武汉430030

出　　处：《实用心电学杂志》2016年第4期282-284,共3页Journal of Practical Electrocardiology

基　　金：武汉市科学技术计划项目(2014060101010032)

摘　　要：目的探讨老年人清晨血压与全天血压之间的关系。方法根据动态血压监测结果,从我院2015年9至10月接受动态血压监测的体检老年人中选取全天血压均值升高的高血压患者和全天血压均值正常者各44例,分别为高血压组(A组)和正常对照组(B组)。比较两组的清晨血压与全天血压均值,并分析清晨收缩压/舒张压均值与全天血压收缩压/舒张压均值之间是否存在相关性。结果 A组的清晨和全天血压均值都高于B组。两组的清晨收缩压/舒张压均值与全天收缩压/舒张压均值之间呈正相关关系,且差异有统计学意义(P<0.001)。结论老年人清晨血压能在一定程度上反映全天血压水平,建议在老年人中积极推行清晨血压管理。Objective To investigate the relationship between morning blood pressure and 24-hour blood pressure in elderly people. Methods The research objects were selected from the elderly people who had undergone ambulatory blood pressure monitoring（ ABPM） in our hospital from September to October in 2015. According to ABPM results,44 hypertensive patients with increased average 24-hour blood pressure and another 44 cases with normal average 24-hour blood pressure were taken into our study,separately as hypertension group（ group A） and control group（ group B）. Between the two groups,both of the average morning and 24-hour blood pressure were compared,and the relativity between morning and 24-hour systolic（ diastolic） pressure was explored. Results In group A,the average level of morning and 24-hour blood pressure were higher than those in group B. The morning systolic（ diastolic） pressure in group B was positively correlated with 24-hour systolic（ diastolic） pressure,and the differences were statistically significant（ P〈0. 001）. Conclusion To a certain extent,morning blood pressure can reflect the level of 24-hour blood pressure in elderly people. It is suggested to promote morning blood pressure management actively in elderly people.

关 键 词：清晨血压 全天血压 清晨血压管理 老年高血压 

分 类 号：R544.1[医药卫生—心血管疾病]