|
|
|
| The Characteristics of Hypertension in the Elderly Population and the Role of Dynamic Blood Pressure Monitoring in Disease Management |
| YU Yang, QU Jingquan, GU Haiping |
| Shanghai Jinshan District, Shanyang Town Community Health Service Center,Shanghai 201508 |
|
|
|
|
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.
|
|
Received: 06 February 2024
|
|
|
|
|
|
[1] 刘雅萌,阳晓丽,张彩虹. 老年高血压相关性衰弱的发病机制及运动干预机制的研究进展[J].中国全科医学,2023,26(5):635-640.
[2] 郑澈,陈焕钊,陈润生,等. 不同程度老年高血压患者24 h动态血压变异特点及心脑血管事件发生情况[J].中国当代医药,2022,29(13):47-50.
[3] 么颖,赵英娜,张婷婷,等. 急诊住院中老年高血压患者动态血压监测与心脏结构及功能损伤的相关性[J].中国急救医学,2022,42(10):887-892.
[4] 中国高血压防治指南修订委员会.中国高血压防治指南 2018修订版[J].心脑血管病防治杂志,2019,19(1):1-44.
[5] 李爱娜,黄海泉,许锦鸿,等. 原发性高血压患者的心率白大衣效应分析[J].中国循环杂志,2023,38(3):330-336.
[6] 梅延康,庄欣,杨洁,等. 中医诊疗难治性高血压的研究进展[J].现代中西医结合杂志,2022,31(9):1305-1309.
[7] 陈英飞,王明辉,林金秀. 调整降压药服药时间对隐蔽性未控制高血压降压疗效的影响[J].中华高血压杂志,2022,30(1):78-82.
[8] 孙宁玲. 难治性高血压的评估和治疗[J].中国实用内科杂志,2019,39(1):8-10.
[9] 胡荣权,林显营,刘翠梅. 益肾平肝方对阴虚阳亢型高血压患者动态血压、心率变异性及血清C反应蛋白的影响[J].中国医学创新,2022,19(9):103-106.
[10] 白洁,苗阳. 正常高值血压者血压晨峰与冠心病的相关性研究[J].医学临床研究,2015,32(8):1531-1533.
[11] 余皖杰,曲荟龙,梁春. 昼夜节律紊乱在动脉粥样硬化发病机制中的作用及其干预的研究进展[J].中国现代医学杂志,2020,30(14):53-58.
[12] 刘旭东,那开宪. 遵循指南,科学管理冬季高血压患者血压波动[J].首都食品与医药,2024,31(1):8-10.
[13] 张永军,徐尚银,吴祝霞,等. 动态血压监测指标指导临床治疗老年高血压的意义[J].中华疾病控制杂志,2019,23(7):785-789.
[14] 徐静,苏火财. 高血压动脉弹性功能与血压控制程度的相关性研究[J].中国卫生标准管理,2023,14(22):121-124.
[15] 程雪莲,金俊,谈世进. 80岁及以上老年高血压合并衰弱病人的血压变异性研究[J].实用老年医学,2023,37(5):509-511. |
|
|
|
2024, Vol. 41 
