Abstract：【Objective】To explore the role of dynamic blood pressure monitoring in disease management of elderly patients with hypertension.【Methods】Eighty elderly patients with hypertension who visited our center from October 2020 to September 2022 were selected and divided into three groups based on their blood pressure rhythm characteristics:a spoon shaped group (n=12), a non spoon shaped group (n=42), and a reverse spoon shaped group (n=26). We analyzed the blood pressure rhythm, mean blood pressure, and blood pressure variability of elderly hypertensive patients, and analyzed the risk factors leading to target organ damage. 【Results】The 24-hour diastolic blood pressure coefficient of variation and 24-hour systolic blood pressure coefficient of variation in the non spoon shaped group were significantly different from those in the spoon shaped group (P<0.05); The nighttime systolic blood pressure, nighttime diastolic blood pressure, nighttime systolic blood pressure load value, and nighttime diastolic blood pressure load value of the anti spoon group were significantly different from those of the spoon group (P<0.05). The incidence of target organ damage in the non spoon shaped group and the anti spoon shaped group was higher than that in the spoon shaped group (both P<0.05); There was no statistically significant difference in the incidence of target organ damage between the non scoop group and the anti scoop group (P=0.985). Logistic multiple regression analysis showed that the 24-hour systolic blood pressure coefficient of variation and non arytenoid rhythm were independent risk factors for target organ damage in both arytenoid and non arytenoid groups (P<0.05); The anti scoop blood pressure rhythm is an independent risk factor for target organ damage in both the scoop and anti scoop groups (P<0.05). 【Conclusion】 Elderly individuals with non arytenoid and anti arytenoid blood pressure rhythms are more prone to target organ damage, and dynamic blood pressure monitoring is an effective tool for improving blood pressure management and treatment strategies in elderly hypertensive patients.
俞杨, 渠井泉, 顾海平. 老年人群高血压发病特点及动态血压监测在疾病管理中的作用*[J]. 医学临床研究, 2024, 41(9): 1305-1307.
YU Yang, QU Jingquan, GU Haiping. The Characteristics of Hypertension in the Elderly Population and the Role of Dynamic Blood Pressure Monitoring in Disease Management. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1305-1307.
2024, Vol. 41 
