[1]陈松涛.蒙古族人群原发性高血压晨峰现象与脑卒中筛查的研究分析[J].西部中医药,2013,26(07):56-57.
　CHEN Songtao.Study between Cerebral Apoplexy Screening and Morning Surge in Patients from Mongolian Nationality with Primary Hypertension[J].Western Journal of Traditional Chinese Medicine,2013,26(07):56-57.
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蒙古族人群原发性高血压晨峰现象与脑卒中筛查的研究分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年07期
页码:
56-57
栏目:
出版日期:
2013-07-15

文章信息/Info

Title:
Study between Cerebral Apoplexy Screening and Morning Surge in Patients from Mongolian Nationality with Primary Hypertension
文章编号:
1004-6852(2013)07-0056-02
作者:
陈松涛
酒泉市人民医院心电图室，甘肃 酒泉 735000
Author(s):
CHEN Songtao
ECG Room of Jiuquan Municipality People′s Hospital, Jiuquan 735000, China
关键词:
蒙古族人群; 高血压; 晨峰现象; 脑卒中
Keywords:
Mongolian nationality;  hypertension;  morning surge;  cerebral apoplexy
分类号:
R544.1
文献标志码:
A
摘要:
目的：探讨蒙古族人群原发性高血压晨峰现象与脑卒中筛查的相关性，采取有效措施，降低脑卒中的发生率和复发率。方法：选择蒙古族人群原发性高血压患者137例，分为晨峰组65例(其中发生脑卒中人数42例，占64.62%)与非晨峰组72例(其中发生脑卒中人数26例，占36.11%)，以起床后2小时内的收缩压平均值减去夜间睡眠时的收缩压最低值(包括最低值在内1小时的平均值)，其差值≥35 mmHg(1 mmHg=0.133 kPa)为标准，分析比较2组晨峰现象与脑卒中的相关性。结果：晨峰组发生脑卒中比率明显高于非晨峰组，差异有统计学意义(P＜0.001)，呈显著正相关。结论：蒙古族人群原发性高血压晨峰现象与脑卒中的发生密切相关，晨峰现象是蒙古族人群原发性高血压患者发生脑卒中的重要危险因素，且独立于血压昼夜平均水平。
Abstract:
Objective: We could take effective measures to reduce the incidence and relapse rate of cerebral apoplexy through exploring the relativity between cerebral apoplexy screening and morning surge in patients from Mongolian nationality with primary hypertension. Method: All 137 cases were divided into 65 cases in the morning surge group (42 patients were complicated with cerebral apoplexy and reached 64.62%) and 72 cases in non morning surge group (26 patients were with cerebral apoplexy and accounted for 36.11%). The connections between cerebral apoplexy and morning surge in both groups were analyzed and compared by taking average systolic pressure within two hours after rising subtracting the lowest systolic pressure during sleep at night (average indexes within one hour including the lowest index), the standard was the difference≥35 mmHg(1 mmHg=0.133 kPa). Result: The incidence of cerebral apoplexy in the morning surge group was higher than that of non morning surge group, the difference had statistical meaning (P＜0.001), both showed positive correlations. Conclusion: The incidence of cerebral apoplexy is closely connected with the morning surge in patients from Mongolian nationality, the morning surge is the key factors of patients from Mongolian nationality with hypertension occurring cerebral apoplexy and it is independent to average level of blood pressure during day and night.

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备注/Memo

备注/Memo:
收稿日期：2013-02-01 作者简介：陈松涛(1970—)，女，主管技师。研究方向：心电图的临床诊断。
更新日期/Last Update: 2013-07-15