【摘要】 目的　探讨老年期(60岁以上)、老年前期(45~59岁)高血压病患者动态血压变化规律及特点。方法　55例老年及59例老年前期高血压病患者各分为单纯高血压病、高血压并左室肥厚(LAH)、高血压并脑损害三组,进行年龄、病史、动态血压各项参数对比分析。结果　老年患者组中:脑损害组与其他两组相比高血压病史较长,有显著性差异(P<0 05);动态血压各项参数指标三组相比均无显著差异(P>0 05);老年前期患者组中:脑损害组nSBP与前两组相比有显著性差异(P<0 05),并LVH组及并脑损害组nSBP/dSBP,nDBP/dDBP分别与单纯高血压病组比较各有极显著性差异(P<0 01)及显著性差异(P<0 05)。结论　老年前期患者组中,高血压并心、脑损害与单纯高血压病相比,夜/昼节律消失;老年患者组中,即使单纯高血压病,无心脑损害血压夜/昼节律也存在异常的改变。更多还原

【Abstract】 Objective To assess the law and features of changes of ambulatory blood pressure monitoring(ABPM) in senile and presenile patients with essential hypertension.Methods 55 cases of senile and 59 cases of presenile patients with essential hypertension were both divided into three groups (suinple hypertensive disease group left ventricular hypertrophy group brain damage group).The age,history and parameters of ABPM in three groups were performed to be cortrasted.Results The history of brain damage group of the senile group were longer than those of two groups else,P>0.05。The nSBP of brain demage group of the presenium group were similar,P>0.05。The nSBP of brain demage group of the presenium group compared with the prier two groups,P<0.05.The nSBP/dSBP,nDBP/dDBP of LVH group and brain,P<0.01～0.05.Conclusion The sleeping/walcing rhythm of blood pressure disappear in presenium hypertensive patients with heart,brain damage;The sleepins/waking rhythm of blood pressure was abnomal even if in the single hypertensive disease of senile patient without heart brain damage.更多还原