评估2型糖尿病患者的血压变化:对非浸泡模式及其临床影响的洞察
Mohammad Abu Shaphe1, Mohammed M Alshehri1, Ramzi Abdu Alajam1
1Department of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
International journal of general medicine
|October 7, 2024
概括
大多数正常血压读数的2型糖尿病患者表现出异常的24小时门诊血压监测 (ABPM) 模式. 观察到高频率的非滴血血压模式,与更高的BMI和明显的葡萄糖控制变化有关.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種神經病學.
背景情况:
- 高血压 (HTN) 在2型糖尿病 (T2DM) 中很常见,增加了并发症风险.
- 许多T2DM患者的血压 (BP) 形状异常,尽管进行正常的例行检查.
- 24小时的门诊血压监测 (ABPM) 对于识别血压变化至关重要.
研究的目的:
- 使用ABPM分析T2DM患者的血压变化.
- 为了提高对糖尿病血压模式的理解.
- 为管理T2DM和HTN的临床实践提供信息.
主要方法:
- 这是一项涉及58名T2DM患者的横截面研究.
- 收集的人口,临床和实验室数据.
- 使用太阳科技奥斯卡2ABPM设备进行24小时的血压监测.
- 在24小时,白天和夜间间隔时间内计算的血压下降百分比 (静缩和腹缩).
主要成果:
- 77.58%的患者表现出不下降的血压模式.
- 非浸泡组的BMI更高,并且清晰的禁食/食后血糖控制.
- 滴水组显示出更高的24小时平均缩血压和更大的夜间血压下降.
结论:
- 在T2DM患者中存在高频率的非滴血血压模式.
- 较高的BMI与不下降的血压密切相关.
- 独特的葡萄糖控制模式与血压下降状态相关,这表明潜在的遗传因素.
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