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目的:了解2型糖尿病合并高血压患者动态血压变化特点。方法:对118例2型糖尿病合并高血压患者,292例原发性高血压患者进行24 h动态血压监测,进行比较分析。结果:糖尿病合并高血压患者24 h平均收缩压、白天平均收缩压、夜间平均收缩压、24 h平均收缩压负荷、白天平均收缩压负荷、夜间平均收缩压负荷均高于原发性高血压患者,有统计学差异;血压昼夜节律与原发性高血压患者比较有统计学差异。结论:糖尿病合并高血压患者收缩压及收缩压负荷偏高,昼夜节律减弱或消失,因此应积极控制收缩压、收缩压负荷,恢复正常昼夜节律。
Objective: To understand the characteristics of ambulatory blood pressure in type 2 diabetic patients with hypertension. Methods: A total of 118 patients with type 2 diabetes mellitus and 292 patients with essential hypertension were monitored for ambulatory blood pressure 24 hours later. Results: The mean systolic blood pressure at 24 h, mean systolic blood pressure at daytime, mean systolic blood pressure at night, mean systolic blood pressure at 24 h, mean systolic blood pressure at daytime, and mean systolic blood pressure at night were significantly higher in patients with diabetes mellitus complicated with hypertension than in patients with essential hypertension , There is a statistical difference; circadian rhythm of blood pressure and essential hypertension in patients with a statistically significant difference. Conclusions: Systolic blood pressure and systolic blood pressure are high in patients with diabetes mellitus complicated with hypertension, and the circadian rhythm is weakened or disappeared. Therefore, the systolic blood pressure, systolic blood pressure should be controlled actively, and the normal circadian rhythm should be restored.