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目的 观察高血压病合并冠心病患者的动态血压特点。方法 对 6 3例高血压病合并冠心病患者和96例单纯高血压病患者进行 2 4h动态血压监测。结果 84 %高血压病合并冠心病患者血压昼夜节律消失 ,而单纯高血压病患者 73%消失 (P <0 0 5 ) ;高血压病合并冠心病组 85 %出现晨峰 ,而单纯高血压病组 6 8%出现晨峰(P <0 0 5 )。结论 血压的昼夜变化和晨峰与高血压病合并冠心病的发生密切相关。高血压病合并冠心病患者血压晨峰明显增加 ,昼夜节律消失明显
Objective To observe the characteristics of ambulatory blood pressure in hypertensive patients with coronary heart disease. Methods Totally 62 ambulatory blood pressure monitoring was performed in 63 patients with hypertension complicated with coronary heart disease and 96 patients with simple hypertension. Results The circadian rhythm of blood pressure disappeared in 84% of hypertensive patients with coronary heart disease, while 73% disappeared in patients with essential hypertension (P <0.05). In hypertensive patients with coronary heart disease, 85% Peaks of 68% appeared in the group (P <0 05). Conclusion The diurnal variation of blood pressure and morning peak are closely related to the occurrence of coronary heart disease in hypertensive patients. Hypertensive patients with coronary heart disease peak pressure increased significantly, circadian rhythm disappeared significantly