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目的了解2型糖尿病合并高血压患者动态血压的特点。方法将120例患者按有无糖尿病和有无高血压分4组,对每组30例受试者进行24h动态血压监测。结果糖尿病伴高血压组24h平均收缩压及收缩压负荷大于无糖尿病的原发性高血压组,而24h平均舒张压及舒张压负荷略小于无糖尿病的原发性高血压组;糖尿病组无论是否伴有高血压,其昼夜血压差值均小于无糖尿病的两组。结论糖尿病组失去正常昼高夜低的血压波动规律,这种异常在患者未出现高血压时已经存在。提示:糖尿病患者发生高血压的机理可能有别于非糖尿病者,对糖尿病者定期监测血压,并根据异常情况,在高血压出现之前即采取防治措施。
Objective To understand the characteristics of ambulatory blood pressure in type 2 diabetic patients with hypertension. Methods 120 patients were divided into 4 groups according to whether they had diabetes or without hypertension, and 30 patients in each group were monitored for 24h ambulatory blood pressure. Results The mean systolic blood pressure and systolic blood pressure were higher in patients with diabetes mellitus than in those without diabetes, while the mean 24h and diastolic blood pressure were slightly less than those in non-diabetic patients with hypertension. The diabetic group had no significant difference Accompanied by hypertension, the difference between day and night blood pressure were less than two groups without diabetes. Conclusion Diabetes mellitus patients lose normal blood pressure fluctuations during daytime and nighttime, and this abnormality already exists in patients without hypertension. Tip: The mechanism of hypertension in diabetic patients may be different from non-diabetic patients, regular monitoring of blood pressure in patients with diabetes, and according to the abnormal situation, in the prevention of hypertension before taking preventive measures.