实际作息与固定作息对24 h动态血压结果的影响  

作　　者：潘玲玲 李晓东[1] 杜晨 

机构地区：[1]浙江中医药大学附属第一医院

出　　处：《浙江临床医学》2023年第2期236-238,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 分析实际作息与固定作息(22:00~6:00)所得24h动态血压监测(ambulatory blood pressure monitoring,ABPM)参数的关系.方法 选取实际作息与固定作息有时间差的患者147例,进行ABPM后,根据时间差大小将患者分成三组,全体组(147例,时间差>0h);2h组(70例,时间差≥2h);3h组(33例,时间差≥3h).分别获取三组患者实际作息及固定作息的白天血压平均值、夜间血压平均值、夜间血压下降率.分析不同患者实际作息与固定作息对所得24h动态血压参数的影响.结果 三组患者所得动态血压参数比较,白天血压平均值和夜间血压下降率在三组实际作息与固定作息中,差异均有统计学意义(P<0.05),3h组夜间血压平均值实际作息与固定作息,差异有统计学意义(P<0.05).结论 当患者实际作息与固定作息存在时间差,尤其是时间差>3h的患者在监测后提供个体化的数据分析,可能对重视患者的血压昼夜节律变化具有一定意义.Objective To analyze the relationship between the 24-hour ambulatory blood pressure monitoring(ABPM)parameters obtained by patients with actual and fixed schedules(22:00~6:00).Methods A total of 147 patients with time differences between their actual and fixed schedules were selected.After ABPM,the patients were divided into three groups according to the time difference:All group(147 cases,time difference>0 h),2-h group(70 cases,time difference≥2 h),and 3-h group(33 cases,time difference≥3 h).The average daytime blood pressure,the average nocturnal blood pressure,and the nocturnal blood pressure drop rate of the three groups of patients with actual schedule and fixed schedule were obtained to explore the effects of different patients'actual and fixed schedules on the obtained 24-hour ambulatory blood pressure parameters.Results The ambulatory blood pressure parameters obtained by the three groups of patients were compared,and it was found that there were statistically essential differences in the average daytime blood pressure and the nocturnal blood pressure drop rate among the three groups(P<0.05).The difference of the average nocturnal blood pressure in the 3-h group was of distinguished statistical significance(P<0.05).Conclusion When there is a time difference between the actual schedule of the patient and the fixed schedule,especially for patients with a time difference ofmore than 3hours,individualized data analysis is provided after monitoring,which may cause some significance to attention to the circadian rhythm of blood pressure in patients.

关 键 词：24 h动态血压监测 夜间血压下降率 实际作息 固定作息 

分 类 号：R54[医药卫生—心血管疾病]