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充血性心力衰竭患者24 h血压监测结果分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1996年第4期
页码:
193-195,199
栏目:
论著
出版日期:
1996-08-01

文章信息/Info

Title:
Analysis of 24-hour blood pressure in patients with congestive heart failure
作者:
廖禹林　贾世纯　张子银　甘继宏
兰州军区乌鲁木齐总医院心内科 乌鲁木齐 830000
Author(s):
Liao Yulin;  Jia Shichun;  Zhang Ziyin and Gan Jihong
Department of Cardiology, Wulumuqi General Hospital of Lanzhou Command, Wulumuqi 830000
关键词:
心力衰竭;  充血性;  高血压;  血压测定
Keywords:
heart failure;  congestive;  hypertension;  blood pressure determination
分类号:
-
DOI:
-
文献标识码:
-
摘要:
为了探讨充血性心力衰竭(CHF) 对24 h血压的影响, 我们分析了41例CHF患者24 h血压,并与51例心功能正常的患者做对比研究。结果显示所有病人的血压均呈昼高夜低的杓形变化, 心衰组昼夜血压差(昼夜收缩压差+ 昼夜舒张压差) 显著小于对照组(P<0.01),其24 h平均收缩压和舒张压以及白天夜间的平均收缩压和舒张压亦明显低于对照组(P<0.01)。结果提示CHF患者24 h血压幅度和昼夜血压波动均小于心功能正常的患者。
Abstract:
24-hour blood pressure (BP) at rest was recorded with bedside monitors in 41patients with congestive heart failure (CHF) and 51 patients with normal heart function(NHF).The observed parameters included the drop of BP at night (dnBP),the mean 24-hour systolic and diastolic BP(24h SBP, 24h DBP),and the mean daytime and nighttime BP(dSBP,dDBP,nSBP,nDBP).The results showed that the daytime BP was higher than the nighttime BP (′dipper′type BP) in all the patients; the dnBP was significantly less in CHF patients than in NHF patients (P<0.01),the 24h SBP,24h DBP,dSBP,dDBP, nSBP and nDBP were all significantly lower in CHF patients than in NHF subjects (P<0.01～0.001).Our findings indicate that the 24-hour BP correlated with the heart function, and the magnitude of 24-hour BP and its change between day and night in patients with CHF were less than in NHF subjects.

参考文献/References

［1］White WB, Lund-Johansen P,Omvik P.Assessment of four ambulatory blood pressure monitors and measurements by clinicians versus intraarterial blood pressure at rest and during exercise.Am J Cardiol 1990; 65: 60.

［2］Staessen JA , Fagard RH, Lijnen PJ , et al.Mean range of the ambulatory pressure in normotensive subjects from a meta-analysis of 23 studies1.Am J Cardiol 1991; 67: 723.

［3］Charlap S, Lichstein E, Frishman W.B-adrenergic blocking drugs in the treatment of congestive heart failure.Med Clin North Am 1989; 73 (2) :373.

［4］Bristow MR, Gilbert EM , Olsen S, et al. Long term metoprolol therapy increasesmyocardial Badrenergic receptor density relate to placebo controls.J Am Coll Cardiol 1993; 21: 101A A.

备注/Memo

备注/Memo:
Received 1995-11-05；revised 19962-03-26
更新日期/Last Update: 1996-08-01