高血压患者昼夜节律变化规律与心脑血管事件的相关性  

Correlation between circadian rhythm changes and cardiovascular events in hypertensive patients

作　　者：郭瑞珍[1] 

机构地区：[1]山西省荣军医院内科,030031

出　　处：《中国社区医师》2017年第31期94-94,96,共2页Chinese Community Doctors

摘　　要：目的:探讨高血压患者昼夜节律变化规律与心脑血管事件的相关性。方法:收治行24 h动态血压监测的高血压患者134例,分析4种不同高血压类型与心脑血管事件发生的关系。结果:杓型血压组发生心脑血管事件46.5%,超杓型血压组发生心脑血管事件33.3%,非杓型血压组发生心脑血管事件70.7%,反杓型血压发生心脑血管事件75%。其中杓型血压组、超杓型血压组与非杓型血压组、反杓型血压组比较,差异有统计学意义(P<0.05)。结论:根据24 h动态血压的昼夜节律变化规律,高血压患者夜间血压越高,心脑血管事件的发生率越高。Objective:To explore the correlation between circadian rhythm changes and cardiovascular events in hypertensive patients.Methods:134 hypertensive patients with 24 hours ambulatory blood pressure monitoring were selected.We analyzed the difference between 4 different types of hypertension and cardiovascular events.Results:In the dipper blood pressure group,the incidence of cardiovascular events was 46.5%.In the super dipper blood pressure group,the incidence of cardiovascular events was 33.3%.In the non dipper blood pressure group,the incidence of cardiovascular events was 70.7%.In the adverse dipper blood pressure group,the incidence of cardiovascular events was 75%.Compared the dipper blood pressure group and super dipper blood pressure group with the non dipper blood pressure group and adverse dipper blood pressure group,the difference was statistically significant(P<0.05).Conclusion:According to the circadian rhythm of 24 hours ambulatory blood pressure,in hypertensive patients,the higher the nocturnal blood pressure,the higher the incidence of cardiovascular and cerebrovascular events.

关 键 词：动态血压监测 高血压类型 昼夜节律 心脑血管事件 

分 类 号：R544.1[医药卫生—心血管疾病]