Ambulatory blood pressure monitoring in diabetic males: A method for detecting blood pressure elevations undisclosed by conventional methods
Ambulatory blood pressure monitoring in diabetic males: A method for detecting blood pressure elevations undisclosed by conventional methods
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男性糖尿病患者的动态血压监测：一种检测传统方法未公开的血压升高的方法
DOI：
10.1002/clc.4960050808
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发表时间：
1982
影响因子：
2.7
通讯作者：
C. Cieslik
中科院分区：
文献类型：
--
作者：
S. Rubler;T. Abenavoli;H. A. Greenblatt;J. Dixon;C. Cieslik
21名糖尿病男性，年龄20 - 61岁（平均48.4±10.5岁）和14名健康男性，年龄22 - 59岁（平均42.5±10.4岁），同意参加一项研究，在此期间获得收缩压和舒张压、心率和心律的24小时记录。糖尿病受试者被认为血压正常，但2例患者除外，观察到罕见的血压显著升高且未接受治疗。糖尿病患者的平均最大收缩压（160.7±49.8 mmHg）高于正常对照组（132.4±12.1 mmHg）（p<0.05）。他们的收缩压读数≥ 150 mmHg的频率（15.1%）也高于正常男性（0.2%）（p<0.01）。舒张压读数≥90 mmHg的频率前者为22.1%，后者为9.2%（P<0.01）。在21例糖尿病男性中，14例（66.7%）收缩压≥ 150 mmHg，舒张压≥100 mmHg，或两者兼而有之。在正常男性中，14例中有3例（21.4%）有这种压力。24小时动态血压监测显示，糖尿病患者的常规偶然读数未检测到血压升高。
Twenty‐one diabetic males, ages 20 to 61 years (mean 48.4±10.5) and 14 healthy males, 22 to 59 years (mean 42.5±10.4) consented to participate in a study during which 24‐h recordings of systolic and diastolic blood pressures, heart rates, and rhythm were obtained. The diabetic subjects were considered nor‐motensive except for two patients, who had been observed to have rare insignificant elevations in blood pressure and were untreated. Diabetic subjects had a higher mean maximal systolic blood pressure (160.7±49.8 mmHg) than the normal controls (132.4±12.1 mmHg) (p<0.05). They also had a higher frequency (15.1%) of systolic blood pressure readings ≥ 150 mmHg compared to normal men (0.2%) (p<0.01). The frequency of diastolic blood pressure readings ≥90 mmHg was 22.1% in the former and 9.2% in the latter group (p<0.01). Of 21 diabetic males, 14 (66.7%) had systolic pressures ≥ 150 mmHg, diastolic pressures ≥100 mmHg, or both. In the normal men, 3 (21.4%) of the 14 had such pressures. Twenty‐four hour monitoring of ambulatory blood pressures revealed elevations not detected by routine casual readings in patients with diabetes.