2型糖尿病患者体位性低血压的临床因素分析
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The Analysis of Clinical Factors About Orthostatic Hypotension in Type 2 Diabetes
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    摘要:

    目的研究2型糖尿病患者体位性低血压的临床因素。方法分析168例2型糖尿病患者静息状态下以及站立后1~10 m in内的每分钟血压。结果体位性低血压组与非体位性低血压组两组比较,前者年龄较大、卧位收缩压较高、糖化血红蛋白水平较高、合并高血压的比率较高;Logistic回归分析提示体位性低血压的发生与年龄、卧位收缩压、糖化血红蛋白水平、合并高血压病独立正相关。结论合并高血压病的2型糖尿病患者应加强血压、血糖的管理,减少体位性低血压的发生。

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    Aim To explore the clinical factors about orthostatic hypotension in patients with type 2 diabetes. Methods Blood pressure of resting and standing within 10 minutes were taken per minute in 168 patients with type 2 diabetes. Results Comparing with the non-orthostatic hypotension group,the orthostatic hypotension group was older.The supine systolic blood pressure,the level of GHbA1C and the rate of hypertension was higher.Logistic regression analysis indicated that the incidence of orthostatic hypotension are associated with age,supine systolic blood pressure,GHbA1C levels and hypertension. Conclusion The blood pressure and glycemic control in hypertensive patients with type 2 diabetes should be managed reasonably so as to reduce the incidence of orthostatic hypotension.

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彭妙官,张琦,邓雪峰,叶慧玲,廖志红,陈广原.2型糖尿病患者体位性低血压的临床因素分析[J].中国动脉硬化杂志,2010,18(11):889~892.

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  • 收稿日期:2010-09-19
  • 最后修改日期:2010-11-09
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