高血压患者血压动态监测特点及与脑卒中的关系

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Abstract ObjectiveTo investigate the characteristics of ambulatory blood pressure monitoring in patients with hypertension and its relationship with stroke.Methods248 patients with hypertension combined with cerebral stroke treated in our hospital from March 2012 to December 2014 were recruited as the cerebral stroke group,and 173 hypertensive patients without cerebral stroke were selected as the control group.The ambulatory blood pressure monitoring was used in both groups to record the average blood pressure of 24 h,pulse pressure(PP)and so on.ResultsIn the cerebral stroke group,average systolic blood pressure(SBP)of 24 h was(142.47±13.24)mmHg,and PP was(67.10±10.13)mmHg,which were significantly higher than the control group[(131.08±14.16)mmHg and(58.34±9.18)mmHg](P<0.05).Meandiastolic blood pressure(DBP)of 24 h was(76.14±9.47)mmHg in the cerebral stroke group,and was(75.98±9.13)mmHg in the control group,there were no significantly difference between both groups (P>0.05).The circadian SBP respectively were (149.54±10.64)mmHg and(140.24±11.54)mmHg in cerebral stroke group,which were remarkblely higher than those of the control group (138.87±9.86)mmHg and(129.57±10.61)mmHg(P＜0.05).DBP at night in cerebral stroke group was(76.04±10.08)mmHg,which was significantly higher than the control group(73.45±9.56)mmHg(P<0.05).The SBP and DBP rhythms were respectively(4.24±0.94)%and(5.53±1.21)%in the cerebral stroke group,which were significantly lower than the control group(9.73±1.32)%and(9.07±1.27)%(P<0.05).ConclusionAverage SBP,PP,circadian SBP and blood pressure circadian rhythm may be relevant to the occurrence of cerebral stroke.Effective control of blood pressure,particularly SBP,may have significant value to reduce the incidence of cerebral stroke.

Key words： Hypertension Ambulatory blood pressure monitoring Cerebral stroke Systolic blood pressure Diastolic blood pressure

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	HUANG Yong-hui

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HUANG Yong-hui. Characteristics of ambulatory blood pressure monitoring in patients with hypertension and its relationship with stroke[J]. 中国当代医药, 2017, 24(12): 32-34.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I12/32

[1]	万丽红，邓石凤，张小培，等.不同阶段高血压性脑卒中患者健康知识及行为的比较[J].中华护理杂志，2013，48（5）：428-431.
[2]	孙佳艺，巢宝华，徐新娟，等.中国三甲医院高血压患者脑卒中十年发病风险的流行病学研究[J].中华高血压杂志，2014，22（10）：964-968.
[3]	沈宇峰，陆学胜.高血压伴慢性肾脏病患者服药时间对发生心血管事件影响研究[J].现代仪器与医疗，2014，20（3）：89-91.
[4]	Arima H，Chalmers J，Yano Y，et al.The relationship between the morning blood pressure surge and low-grade inflammation on silent cerebral infact and clinical stroke events[J].Atherosclerosis，2011，219（1）：316-321.
[5]	肖华，彭智欣，林朴卿，等.高血压并发急性心肌梗死与急性缺血性脑卒中患者血压变异性的差异[J].广东医学，2013，34（10）：1522-1525.
[6]	黎娜，范书英，王勇.脑卒中与高血压的研究进展[J].中国全科医学，2012，15（35）：4151-4152.
[7]	黄红，周燕，李惠仙，等.老年高血压患者血压晨峰与颈动脉粥样硬化及缺血性脑卒中发病的相关性[J].中国老年学杂志，2012，32（22）：4885-4887.
[8]	Shimbo D，Newman JD，Aragaki AK，et al.Association between annual visit-to-visit blood pressure variability and stroke in poetmenopausal women：data from the Women′s Health Initiative[J].Hypertension，2012，60（3）：625-630.
[9]	林运，康立惠，孙俊平，等.老年血压控制不良患者平均动脉压与脑卒中关系的研究[J].中华老年心脑血管病杂志，2013，15（7）：718-721.
[10]	程玮，孙晓江.动态血压监测对老年脑卒中患者的临床意义[J].中国老年学杂志，2014，34（14）：4106-4108.
[11]	林莉，纪建松，韦铁民，等.高血压脑卒中患者的脑微出血临床特点[J].中华高血压杂志，2013，21（3）：227-231.
[12]	左惠娟，林运，张娟，等.35岁以上血压控制未达标患者血压特征及与缺血性脑卒中的关系[J].中华高血压杂志，2013，21（6）：565-568.
[13]	王艾，曾广民，张福秋.高血压合并脑卒中二级预防降压药物的选择[J].中西医结合心脑血管病杂志，2016，14（11）：1212-1215.
[14]	万丽红，阮恒芳，周雯莉，等.高血压与首发高血压相关脑卒中患者的健康信念及行为[J].中华高血压杂志，2014，22（9）：859-864.
[15]	罗政，陈鹏，谷玉平，等.IL-6、IL-8、Lp-PLA2对H型高血压合并缺血性脑卒中临床意义探讨[J].中风与神经疾病杂志，2016，33（7）：613-615.
[16]	易月婵，李勤，徐宁等.原发性高血压并发缺血性脑卒中与颈动脉粥样硬化的关系研究[J].中国实用神经疾病杂志，2016，19（2）：43-44.