高血压病患者并发中心性肥胖的相关因素及其腹围与动态血压相关性

发布时间：2018-05-24 21:52

本文选题：动态血压 + 高血压　；参考：《心脏杂志》2017年03期

【摘要】：目的分析高血压病患者并发中心性肥胖的相关因素及其腹围和动态血压(ABPM)的相关性。方法回顾性分析100例中心性肥胖并发高血压病患者(病例组)的资料,分为男性组(n=50)、女性组(n=50)。另设无中心性肥胖的高血压病患者作为对照组(n=100)。比较腹围和ABPM的关系。腹围和血压的相关性研究采用直线相关分析,并采取控制影响因素的偏相关分析。结果男性组和女性组年龄匹配。二组24h收缩压(SBP)均值、白天SBP均值、夜晚SBP均值最高SBP均值均增高。二组比较差异无统计学意义。腹围与24SBP均值、白天SBP均值、夜晚SBP均值、最高SBP均值呈正相关(男性r=0.282、r=0.360、r=0.238、r=0.380,均P0.05;女性r=0.350、r=0.342、r=0.335、r=0.344,均P0.05)。腹围与昼夜节律呈负相关,男性r=-0.278/-0.058;女性r=-0.264/-0.027,均P0.05/P0.05。腹围与24h SBP负荷均值呈正相关(男性r=0.339、女性r=0.321,P0.05)。结论中心性肥胖并发高血压病患者腹围与收缩压、收缩压负荷、昼夜节律相关。
[Abstract]:Objective to analyze the correlation between abdominal circumference and ABPM in essential hypertension patients with central obesity. Methods the data of 100 patients with central obesity complicated with hypertension were analyzed retrospectively and divided into male group (n = 50) and female group (n = 50). In addition, hypertension patients without central obesity were used as control group. The relationship between abdominal circumference and ABPM was compared. The correlation between abdominal circumference and blood pressure was studied by linear correlation analysis and partial correlation analysis. Results the age of male group and female group were matched. In both groups, the mean of 24 h systolic blood pressure (SBP), the mean of SBP in daytime and the highest SBP in SBP at night were all increased. There was no statistical difference between the two groups. The abdominal circumference was positively correlated with the mean of 24SBP, SBP in daytime, SBP at night, and the highest SBP in male (r = 0.282), r = 0.360 ~ 0, P = 0.380, respectively (P = 0.05), and in female, r = 0.350 ~ (?) ~ (0.345) ~ 0.335N ~ (0.34), all P ~ (0.05). The abdominal circumference was negatively correlated with the circadian rhythm: male r-0.278% -0.058; female r-0.264% -0.027, all P0.05 / P0.05. There was a positive correlation between abdominal circumference and 24 h SBP load (male, r = 0.339, female: r = 0.321, P = 0.05). Conclusion the abdominal circumference is related to systolic blood pressure, systolic blood pressure load and circadian rhythm in patients with central obesity complicated with hypertension.
【作者单位】：南京中医药大学附属江苏省中医院心内科;南京中医药大学基础医学院中基内经教研室;
【分类号】：R544.1;R589.2

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