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Objective:To study the changes of ambulatory blood pressure in patients of renal hypertension.

目的:通过应用动态血压监测仪来观察肾性高血压的动态血压变化,以及血压的变化与肾功能变化之间的相关关系。

To characterize the distribution of blood pressure, prevalence, and risk factors for hypertension in pediatric chronic kidney disease, we conducted a cross-sectional analysis of baseline BPs in 432 children (mean age 11 years; 60% male; mean glomerular filtration rate 44 mL/min per 1.73 m2) enrolled in the Chronic Kidney Disease in Children cohort study. BPs were obtained using an aneroid sphygmomanometer.

为了描绘血压的分布,流行和引儿童慢性肾功能不全引起的高血压的危险因子,我们对432名患有慢性肾功能不全的儿童的血压进行了一项有代表性的配伍研究(平均年龄为11岁,60%为男性,平均肾小球滤过率为44ml/min1.73m2)血压的测量是利用无水银血压计进行的,而肾小球滤过率则是根据碘海醇的清除率来测定。

"A particularly interesting finding of this study is that the vaccine achieved fairly good control of blood pressure in the early morning hours," said Juerg Nussberger, M.D., Division of Angiology and Hypertension, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland, who presented the study in a Tuesday media briefing.

Juerg Nussberger博士认为与降压药物相比,高血压疫苗具有以下优势:(1)降压药物半衰期短,无法稳定控制清晨血压,而这正是高血压疫苗所擅长的;(2)高血压疫苗只需每四周注射一次,依从性明显好于降压药物;(3)高血压疫苗可有效控制血压,而降压药物只能使四分之一的患者血压得到成功控制。

Apparent error is found in systolic pressure in patients with hypertension, but not in diastolic pressure.

血压病人的血压较高且有明显动脉硬化者,临床表现与血压不符时,可考虑采用有创法测量血压,以便准确了解病情。

The blood pressure of.1 of pathology physiology mechanism that SAS causes CVD breathes time-out to be able to bring about airframe in elevatory Morpheus anoxic, sympathetic is excessive and excited, element of serous catechu phenolic amine, kidney and hemal endodermis element are elevatory, bring about hemal easy of hemal convulsion; to shrink the function is disorder, can make blood-vessel flowing flesh happening reframes and fleshy, systemic blood-vessel obstruction adds element of the kidney when; is chronic and anoxic, system of hemal and nervous element is activationed, bring about blood pressure to lift. Obstruction of way of energy of life of patient of OSAS of disease of blood of 1.2 low oxygen increases, cause air current to interrupt, breath pauses, at the same time airframe gets used to low oxygen environment gradually, breathing centre drops to low oxygen and sensitivity of disease of blood of tall carbonic acid, breath suspends a frequency increasing, farther aggravating airframe is anoxic. 1.3 heads are self-adjusting the function drops normal person changes quickly in systematic circulation blood pressure when, the head can be passed adjust independently functional generation protects effect, make change of cerebral blood flow not big.

SAS诱发CVD的病理生理机制。1血压升高睡眠中呼吸暂停可导致机体缺氧,交感神经过度兴奋,血浆儿茶酚胺、肾素以及血管内皮素升高,导致血管痉挛;血管舒缩功能紊乱,可使血管平滑肌发生重构和肥厚,全身血管阻力增加;慢性缺氧时肾素—血管紧张素系统被激活,导致血压升高。1.2低氧血症OSAS患者气道阻力增加,造成气流中断、呼吸暂停,同时机体逐渐适应低氧环境,呼吸中枢对低氧和高碳酸血症敏感性下降,呼吸暂停次数增加,进一步加重机体缺氧。1.3脑自动调节功能下降正常人在体循环血压快速变化时,脑可通过自主调节功能产生保护效应,使脑血流量变化不大。

Objective To study the circadian rhythm of blood pressure in renal hypertension.

目的 通过应用动态血压监测仪来观察肾性高血压的动态血压变化,以及血压的变化与肾功能变化之间的相关。

Careful examination of patients with hypotension or low postoperative diuresis should be performed and the cause should be treated.

仔细检查低血压或术后血压下降的病人,应该完成利尿,处理低血压原因。

All the patients were followed up for months and measured respectively the changes of heart rate, blood puessure and cardiac function by the colur dopper ece.results48 patients completed the treatment.the lvedd, lvesd, heart function and symptoms were improved in both groups while the treatment group was more obvious than the control group(p<0.05).the result of hr and bp decreased significantly after treatemt comparatively(p<0.05), while the hr in the treatment decreased more obvious than the control group (p<0.01),but there was no significant difference in hr(p>0.05).conclusionon the basis of routine therapy metoyrolol and shengmaimai capsule can improve the symptoms and heart function significantly in patients with crf and chf.

随访6个月,分别测量治疗前后心率、血压,采用彩色超声心动图测量心功能进行疗效观察。结果48例患者完成研究,两组治疗后左心室舒张末径,左心室收缩末径、,心功能,症状均有改善,但治疗组比对照组明显,两组比较有显著性差异(p<0.05),两组治疗后血压心率较治疗组明显下降(p<0.01),两组患者治疗后血压无显著性差异(p>0.05)而心率有非常显著性差异(p<0.01)。

Methods 135 maintenance hemedialysis cases were divided into well-controlled hypertension group(61cases)and poorly-controlled hypertension group(74 cases). BMI, urine volume of residual renal, erythropoietin dosage, time of maintenance hemodialysis, change of body weight during hemodialysis intermission, hemodialysis mode, KT/V values, dry body, hemachrome concentration were recorded. Singer-variable analysis and multi-variable Logistic regression analysis were performed to examine the risk factors associated with poorly-controlled hypertension.

选择135例维持性血液透析患者为研究对象,根据血压控制情况分为血压控制正常组和血压控制不良组,观察并记录两组患者的年龄、性别、身体质量指数、残肾尿量、促红细胞生成素剂量、透龄、透析间期体重变化、透析方式、KT/V值、是否达透析干体重、血中血红蛋白浓度等指标,进行单因素分析和非条件多因素Logistic回归分析。

Methods Thirty patients with abnormal blood pressure circadian rhythm by ambulatory blood pressure monitoringwere administered oral Nifedipine GITS 30~60mg/day,and were examined by ABPM again after 6 weeks.

4小时动态血压监测证实约三分之一的高血压病患者其夜间血压下降 0 %,即血压昼夜节律减弱或消失,称为异常血压昼夜节律。

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