四川大学学报（医学版）2012，Vol.43Issue(3)：429-433,5.
糖尿病肾病腹膜透析患者的动态血压和血压变异性研究
Blood Pressure Variation of Hypertensive Diabetic Nephropathy Patients Undergoing Peritoneal Dialysis
钟慧 1刘芳 1沙朝晖 1唐晓红 1秦敏 1周雪丽 1任英 1唐鸿彬 2付平1
作者信息
- 1. 四川大学华西医院肾脏内科,成都610041
- 2. 重庆市潼南县人民医院内科,潼南402660
- 折叠
摘要
Abstract
Objective To investigate the variance of blood pressure of hypertensive diabetic patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Methods Twenty hypertensive CAPD patients older than 40 years with diabetic nephropathy (DN-PD group) and twenty patients with chronic glomerular nephritis (CGN-PD group) were recruited. Peritoneal status and dialysis adequacy of the patients in the two groups were calculated using PD Adequest. All patienrs were given 24-hour ambulatory blood pressure monitoring (ABPM). Parameters of blood pressure variation were calculated and compared between the two groups, which included 24 b systolic and diastolic blood pressure variability (24 h SBPV/DBPV) and coefficient of variation (24 h SBPCV/24 h DBPCV), daytime systolic and diastolic blood pressure variability (dSBPV/ DBPV) and coefficient of variation (dSBPCV/dDBPCV), and night time systolic and diastolic blood pressure variability (nSBPV/ DBPV) and coefficient of variation (nSBPCV/nDBPCV). Results No significant differences in clinical characteristics were found between the two groups of palients, except for fast glucose. No significant differences in average systolic and diastolic blood pressures, average pulse pressure and mean 24 h, daytime, and nighttime arterial pressures were found between the two groups. However, the DN-PD group had significantly higher 24 h SBPV, 24 h SBPCV, dSBPV and dSBPCV than the CGN-PD group (P<0.05). Conclusion Hypertensive diabetic nephropathy patients undergoing peritoneal dialysis have greater blood pressure variance than those with hypertensive chronic giomerular nephritis, despite a similar result of blood pressure control.关键词
糖尿病/腹膜透析/血压变异Key words
Diabetes/Peritoneal dialysis/Blood pressure variability引用本文复制引用
钟慧,刘芳,沙朝晖,唐晓红,秦敏,周雪丽,任英,唐鸿彬,付平..糖尿病肾病腹膜透析患者的动态血压和血压变异性研究[J].四川大学学报（医学版）,2012,43(3):429-433,5.
