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慢性病阶段与门诊血压监测参数变化之间的关联
André Murad Nagahama1, Vanessa Dos Santos Silva1, Vanessa Burgugi Banin1
1Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina, Botucatu, SP, Brazil.
Jornal brasileiro de nefrologia
|June 17, 2024
概括
晚期慢性病 (CKD) 阶段与门诊血压监测 (ABPM) 模式的显著变化相关,包括减少夜间浸泡和增加血压变化.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 高血压管理 高血压管理
背景情况:
- 血压 (BP) 管理对于慢性病 (CKD) 中的动脉高血压 (AH) 至关重要.
- 在门诊血压监测 (ABPM) 期间,CKD患者表现出明显的血压模式.
研究的目的:
- 调查慢性瘤进展阶段与ABPM参数变化之间的关系.
- 了解CKD进展如何影响血压变化和浸泡模式.
主要方法:
- 对851名接受ABPM的患者进行横截面研究.
- 与CKD阶段 (3a-5) 相关的ABPM参数分析.
- 混因素包括年龄,性别,BMI,吸烟,CKD原因和抗高血压药物的使用.
主要成果:
- 综合性血压 (SBP) 与CKD阶段3b和5.5相关.
- 与CKD3a,4和5阶段相关的SBP变异性增加.
- 在晚期CKD阶段 (4和5) 观察到降低SBP和扩张性BP (DBP) 浸泡.
结论:
- 晚期CKD阶段与夜间血压下降显著相关.
- 较大的血压变化是慢性病晚期阶段的特征.
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