摘要目的：探讨老年心力衰竭患者动态血压特点与其再入院率的关系。方法： 0 例高血压合并心力衰竭的 患者，按2 h 平均动脉压（2 h MBP）、2 h 平均收缩压（2 h SBP）、2 h 平均舒张压（2 h DBP)、白昼平均收缩压（DSBP）、 白昼平均舒张压（DDBP）、夜间平均收缩压（NSBP）、夜间平均舒张压（NDBP）、收缩期血压负荷比值、舒张期血压负 荷比值、收缩期血压昼夜节律、舒张期血压昼夜节律是否达标分为达标组与未达标组，比较各两组间再入院率。结 果：与未达标组相比，血压均值2 h MBP、2 h SBP、2 h DBP、DSBP、DDBP、NSBP、NDBP 达标组再入院率降低，其 中2 h SBP、2 h DBP、DSBP、NSBP 再入院率明显低于未达标组；收缩期血压负荷比值、舒张期血压负荷比值达标 组较未达标组再入院率降低，但无统计学差异；收缩期、舒张期血压昼夜节律失常组较未失常组具有更高的再入 院率。结论：血压均值达标组及血压昼夜节律未失常组再入院率较未达标组相比明显降低，对老年高血压合并心 衰患者行动态血压监测，可帮助了解其预后，指导临床治疗。
Abstract：Objective To explore the relationship between the characteristics of ambulatory blood pressure in elderly patients with congestive heart failure(CHF) and readmission. Methods A total of 70 patients with CHF and hypertension(median age 76.73±7.02 yrs old), were divided into Blood Pressure Controlled group and Non-controlled group by 24h MBP、24hSBP、 24hDBP、DSBP、DDBP、NSBP、NDBP、Systolic blood pressure load ratio、Diastolic blood pressure load ratio or blood pressure rhythm disorders ratio. The readmission rate between the two groups was compared. Results Compared with the Non-controlled group, the BP controlled group of 24hMBP、24hSBP、24hDBP、DSBP、DDBP、NSBP or NDBP had a lower readmission rate. And the readmission rate of BP controlled group of 24hSBP、24hDBP、DSBP or NSBP was obviously lower than that of the abnormal group. The readmission rate of Controlled group of blood pressure load ratio was lower than that of the Non-controlled group, but not statistically differenct. The readmission rate of Non-controlled group of blood pressure rhythm disorders ratio was higher than that of the controlled group. Conclusion The readmission rate of BP controlled group of the mean blood pressure or blood pressure rhythm disorders ratio was lower than the abnormal group. The ambulatory blood pressure monitoring in elderly patients with CHF and hypertension can help understand the prognosis and guide clinical treatment.
引用本文:
熊 英, 欧柏青, 邹 燕, 张颖捷. 动态血压监测指标对老年心力衰竭患者再入院率的评估[J]. journal1, 2015, 12(2): 34-. XIONG Ying, 欧Bai-Qing , ZOU Yan, ZHANG Ying-Jie. Predictive Value of ambulatory blood pressure monitoring in readmission rate of elderly patients with congestive heart failure. journal1, 2015, 12(2): 34-.
2015,Vol. 12
