基于远程血压网络系统的新疆塔城地区托里县居民非杓型血压特点及影响因素  

Characteristics and influencing factors of non-dipping blood pressure of residents in Tori County,Tacheng area of Xinjiang based on remote blood pressure network system

作　　者：冯艳[1] 陈鸿远 穆耶赛尔·麦麦提明 王芳丽 FENG Yan;CHEN Hongyuan;MAIMAITIMING Muyesaier;WANG Fangli(Department of Electrocardiography,Xinjiang Uygur Autonomous Region People's Hospital,Urumqi Xinjiang 830001;Department of Emergency Medicine,Tori County People's Hospital,Tacheng Xinjiang 834500,China)

机构地区：[1]新疆维吾尔自治区人民医院心电学科,新疆乌鲁木齐830001 [2]托里县人民医院急诊医学科,新疆塔城834500

出　　处：《实用心电学杂志》2024年第1期14-18,共5页Journal of Practical Electrocardiology

基　　金：新疆维吾尔自治区科技支疆项目(2021E02051)。

摘　　要：目的探讨新疆塔城地区托里县居民非杓型血压(non-dipping blood pressure,NDBP)的特点及其影响因素。方法回顾性分析托里县1547例患者的动态血压监测结果,并据此将他们分为杓型组及非杓型组,其中杓型组363例(男150例、女213例),非杓型组1184例(男456例、女728例)。比较两组患者的性别、年龄、24hSBP、24hDBP、24hMAP、24hHR、dSBP、dDBP、dMAP、dHR、nSBP、nDBP、nMAP、nHR等相关指标。利用ROC曲线评估24hMAP、nSBP、nMAP预测NDBP的效能。结果两组患者年龄、24hSBP、24hMAP、nSBP、nDBP、nMAP及nHR差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,nSBP(OR=1.313,95%CI 1.232~1.400,P<0.01)、nMAP(OR=1.302,95%CI 1.249~1.356,P<0.01)是发生NDBP的独立危险因素。ROC曲线显示,24hMAP、nSBP和nMAP的AUC分别为0.537、0.726和0.769。结论NDBP与24hMAP、nSBP及nMAP水平密切相关,nMAP对NDBP有较高的诊断效能。利用动态血压监测来诊断NDBP简便、易操作,对临床早期诊断及治疗NDBP具有重要临床价值。Objective To explore the characteristics and influencing factors of non-dipping blood pressure(NDBP)in Tori County of Tacheng area,Xinjiang.Methods Retrospective analysis was performed on the monitoring results of ambulatory blood pressure of 1547 patients in Tori County.According to the monitoring results,they were divided into dipping group(n=363,including 150 males and 213 females),and non-dipping group(n=1184,including 456 males and 728 females).We compared sex,age,and related indexes such as 24-hour average systolic blood pressure(24hSBP),24-hour average diastolic blood pressure(24hDBP),24-hour mean arterial blood pressure(24hMAP),24-hour average heart rate(24hHR),daytime mean systolic blood pressure(dSBP),daytime mean diastolic blood pressure(dDBP),daytime mean arterial blood pressure(dMAP),daytime mean heart rate(dHR),night average systolic blood pressure(nSBP),night average diastolic blood pressure(nDBP),night average arterial blood pressure(nMAP)and night mean heart rate(nHR)between the two groups.ROC curve was used to evaluate the efficacy of 24hMAP,nSBP and nMAP in predicting NDBP.Results There were statistically significant differences in the age,24 h SBP,24 h MAP,nSBP,nDBP,nMAP and nHR between the two groups(P<0.05).Multivariate Logistic regression analysis showed that nSBP(OR=1.313,95%CI 1.232-1.400,P<0.01)and nMAP(OR=1.302,95%CI 1.249-1.356,P<0.01)were independent risk factors for NDBP.The ROC curve showed that the AUC of 24hMAP,nSBP and nMAP were 0.537,0.726 and 0.769,respectively.Conclusion NDBP is closely related to 24hMAP,nSBP and nMAP levels.The index of nMAP proves to be highly effective in diagnosing NDBP.Ambulatory blood pressure monitoring is simple and easy to operate in the diagnosis of NDBP,and has important clinical value for its early diagnosis and treatment.

关 键 词：非杓型血压 动态血压监测 远程血压网络系统 新疆塔城地区 

分 类 号：R544.1[医药卫生—心血管疾病]