| 摘要: |
| 目的探讨清晨高血压的相关因素。方法收集初诊原发性高血压且接受动态血压检测的患者302例，根据清晨血压水平分成清晨高血压组223例和非清晨高血压组79例,观察清晨高血压的相关因素，并进行多元logistic回归分析，探讨相关因素与清晨高血压的关系。结果清晨高血压组患者较非清晨高血压组患者吸烟比例更高（33.63%vs15.19%，P＜0.01）；空腹血糖（FBG）水平更高[（5.98±1.84）vs（5.21±0.90）mmol/L，P＜0.01]；全天平均血压更高，收缩压（SBP）[（145.00±14.73）vs（132.39±8.61）mmHg，P＜0.01]，舒张压（DBP）[（84.23±10.08）vs（77.84±7.38）mmHg，P＜0.01]；白昼血压更高，SBP[（147.17±17.02）vs（132.86±8.61）mmHg,P＜0.01]，DBP[（85.80±8.66）vs（78.96±7.82）mmHg，P＜0.01]；夜间血压也更高，SBP[（137.43±18.80）vs（127.29±15.18）mmHg，P＜0.01]，DBP[（80.15±10.92）vs（75.29±10.41）mmHg，P＜0.01]；昼夜节律紊乱更明显。而两组患者心率差异无统计学意义（P＞0.05）。logistic回归分析显示性别、血糖水平、全天平均SBP、昼夜节律与清晨高血压相关。结论清晨高血压与患者总体血压水平相一致，男性、FBG水平升高和血压昼夜节律紊乱是清晨高血压的危险因素。 |
| 关键词: 清晨高血压 危险因素 |
| DOI：10.12056/j.issn.1006-2785.2017.39.9.2015-865 |
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| Logistic regression analysis of risk factors related to morning hypertension |
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ZHOU Ning, XIE Jiangong, CHEN Yijun
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Zhejiang provincial People's Hospital
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| Abstract: |
| Objective To investigate the related risk factors of morning hypertension. Methods Ambulatory blood pressure was monitored in 302 patients with primary hypertension, including 223 cases with morning hypertension and 79 cases without morning hypertension, according to the level of blood pressure at morning. The risk factors related to morning hypertension were analyzed with logistic regression analysis. Results Compare with non-morning hypertension patients, there were more smokers (33.63% vs 15.19%, P=0.01), higher fasting blood glucose level [(5.98±1.84) vs (5.21±0.90)mmol/L, P＜ 0.01）], higher daily average SBP （[ 145.00±14.73）vs (132.39±8.61)mmHg, P＜0.01] and DBP [(84.23±10.08) vs (77.84±7.38) mmHg, P＜0.01], higher daytime SBP [(147.17±17.02 )vs( 132.86±8.61) mmHg, P＜0.01] and DBP [(85.80±8.66) vs (78.96± 7.82)mmHg, P＜0.01], higher night time SBP [(137.43±18.80) vs (127.29±15.18) mmHg, P＜0.01] and DBP [(80.15±10.92) vs
(75.29±10.41) mmHg, P＜0.01] and higher circadian rhythm disorders in morning hypertension patients. There was no significant difference in heart rate between the two groups. Logistic regression analysis showed that sex, blood glucose, daily average systolic blood pressure, blood pressure circadian rhythm were independent risk factors related to morning hypertension. Conclusion The morning hypertension positively related to blood pressure of patients, the blood pressure rhythm disorder, sex and blood glucose are the risk factors of hypertension in the morning. |
| Key words: Morning hypertension Risk factors |
