期刊文献+

老年人体位性血压变化与脉搏波传导速度的相关分析

The relationship between orthostat blood pressure changes and pulse wave velocity in elderly patients
下载PDF
导出
摘要 目的 观察老年人体位改变导致血压异常波动的发生率,研究体位性血压变化与脉搏波传导速度(PWV)之间的关系.方法 选择165名老年人进行平卧位、立位3 min内血压测定,据血压变化情况分成3组:体位性低血压(OH)组、体位性正常血压(ONT)组和体位性高血压(OHT)组,采用动脉硬化榆测仪榆测双侧肱踝脉搏波传导速度(baPWV).结果 165名老年人中,OH组33例 (20%),ONT组101例(61.2%).OHT 组31例(18.8%).与ONT组相比,OH组、OHT组baPWV有升高(P〈0.05).结论老年人体位性血压变化发生率较高;这种体位性血压变化与大动脉弹性下降有关,并可能与心血管事件发生率相关. Objective To observe the incidence of abnormal orthostatic blood pressure changes and to study the rela- tionship between orthostat blood pressure changes and pulse wave velocity in elderly patients. Methods Blood pressure me- asurements of 165 elderly patients were obtained in a supine position and within 3 minutes after standing. 165 cases were divided into orthostatic hypotension (OH) group, orthostatic hypertension (OHT) group and orthostatic normotension (ONT) group according to the blood pressure, baPWV was detected by angiosclerosis detecting instrument. Results Among 165 patients, 33 (20%)werefoundinOHgroup, and101 (61.2%) in ONT group, 31 (18.8%) cases in OHT groups. baPWV were higher in OH group than in ONT group (P〈0.05). PWV were higher in OHT group than in ONT group (P〈0.05). Conclusions Abnormal orthostatic blood pressure changes are common in the elderly people, which might be related to the arterial stiffness and the incidence of Cardiovascular event.
出处 《老年医学与保健》 CAS 2012年第1期29-33,共5页 Geriatrics & Health Care
关键词 老年人 体位性血压变化 PWV Elderly Orthostatic blood pressure Pulse wave velocity
  • 相关文献

参考文献11

  • 1Masaki KH.Schatz U,Burchfiel CM,et al.Orthostatie hypotension predicts morality in elderly men:the Honolulu Heart Program[J].Circulation,1998,98 (21):2290-2295.
  • 2樊晓寒 吴海英 惠汝太.体位性低血压与心脑血管疾病.中华高血压杂志,2010,:220-224.
  • 3樊晓寒,惠汝太.体位性高血压[J].中华高血压杂志,2011,19(9):818-821. 被引量:17
  • 4王震静.PWV/ABI与动脉硬化的诊断[J].辽宁医学杂志,2009,23(4):201-204. 被引量:5
  • 5Hiitola P,Enlund H,Kettunen R,et al.Postural changes in blood pressure and t he prevalence of ort hostatic hypotension among home dwelling elderly aged 75 years or older[J].J Hum Hyportens,2009,23 (1):33-39.
  • 6Saez T,Suarez C,Sierra MJ,et al.Orthostatic hypotension in the aged and its association with antihypertensive treatment[J].Med Clin (Barc),2000,114 (14):525-529.
  • 7Fan XH,Wang Y,Sun K,et al.Disorders of orthostatic blood pressure response are associated with cardiovascular dis-ease and target organ damage in hypertensive patients[J].Am J Hypertens,2010,23 (8):829-837.
  • 8Kario K,Eguchi K,Hoshide S,et al.U-Curve relationship between orthostatic blcod pressure change and silent cerebrovas-cular disease in elderly hypertensives:orthostatic hypertension as a new cardiovascu lar risk factor[J].J Am Coll Cardiol,2002,40 (1):133-141.
  • 9Grassi G,Seravalle G,Bertinieri G,et al.Sympathetic and reflex alterations in systo-diastolic and systolic hypertension of the elderly[J].J Hypertens,2000,18 (5):587-593.
  • 10无.老年高血压的诊断与治疗中国专家共识(2011版)[J].中国心血管病研究,2011,9(11):801-808. 被引量:51

二级参考文献49

  • 1李立明,饶克勤,孔灵芝,姚崇华,向红丁,翟凤英,马冠生,杨晓光,中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志,2005,26(7):478-484. 被引量:1783
  • 2樊晓寒 吴海英 惠汝太.体位性低血压与心脑血管疾病.中华高血压杂志,91(4):220-224.
  • 3Streeten DH, Auchincloss JH, Anderson GH, et al. Orthostatic hypertension. Pathogenetic studies[J]. Hypertension, 1985,7 (2) : 196-203.
  • 4Ketch T, Biaggioni I, Robertson R, et al. Four faces of baroreflex failure: hypertensive crisis, volatile hypertension, orthostatic tachycardia, and malignant vagotonia[J]. Circulation, 2002,105 (21) :2518-2523.
  • 5Shibao C, Arzubiaga C, Roberts LJ, et al. Hyperadrenergic pos- rural tachycardia syndrome in mast cell activation disorders[J]. Hypertension, 2005,45 (3) : 385-390.
  • 6Matsubayashi K, Okumiya K, Wada T, etal. Postural dysregula- tion in Systolic blood pressure is associated with worsened scoring on neurobehavioral function tests and leukoaraiosis in the older elderly living in a community [J]. Stroke, 1997, 28 ( 11 ) : 2169- 2173.
  • 7Thomas RJ, Liu K, Jacobs DR, et al. Positional change in blood pressure and 8-year risk of hypertension: the CARDIA Study[J]. Mayo Clin Proc,2003,78(8) :951-958.
  • 8Yoshinari M, Wakisaka M, Nakamura U, et al. Orthostatic hy- pertension in patients with type 2 diabetes[J]. Diabetes Care, 2001,24(10) : 1783-1786.
  • 9Kario K, Eguchi K, Hoshide S, et al. U-curve relationship be- tween orthostatic blood pressure change and silent cerebrovaseular disease in elderly hypertensives: orthostatic hypertension as a new cardiovascular risk factor[J]. J Am Coll Cardiol, 2002,40 (1) : 133- 141.
  • 10Fan XH, Wang Y, Sun K, et al. Disorders of orthostatic blood pressure response are associated with cardiovascular disease and target organ damage in hypertensive patients[J]. Am J Hyper- tens,2010,23(8):829-837.

共引文献71

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部