BIẾN THIÊN HUYẾT áp ở BỆNH NHÂN CAO TUỔI TĂNG HUYẾT áp BẰNG đo HUYẾT áp lưu ĐỘNG 24 GIỜ tại BỆNH VIỆN đa KHOA THÀNH PHỐ cần THƠ

BIN THIÊN HUYT ÁP  BNH NHÂN CAO TUT ÁP
I BNH VI
C

Trịnh Thị Bích Liên
1
, Hoàng Khánh
2
1
Bnh vin  C
2
ng i hc Hu


Mục tiêu:


Đối tượng và phương pháp: 
 





Kết quả: 95,17±8,200 mmHg)
 102,08±8,867 mmHg), p < 0,001.  
 98,74±8,51mmHg)  96,65±9,406mmHg), 


Kết luận: 


Tt, thn và não 
- < 0,05).
Từ khóa: 


SUMMARY

Objectives: 1. Comparing the average values artery blood pressure day and night in the
elderly patients with hypertension dipper and non dipper. 2. Determining injury at a target organ
between the two groups of patients with hypertension dipper and non dipper.
Subjects and Methods: Patients aged 60 years or older have hypertension according to criteria
of the Vietnam Heart Association to examination and treatment in Cardiology - Geriatric and
Emergency Hospital in Can Tho city from December 2009 to August 2010, discontinuation of
treatment of hypertension at least 24 hours. Exclude creamy hypertension, diabetes, stroke
complications acute phase. Description interrupted. Testing of blood count, blood biochemistry
and urine, ECG, echocardiogram, ophthalmoscopy. ABPM and Holter ECG measurement. Dipper:
DI> 10%, non-dipper: DI <10%. Data processing by statistical methods conventional medicine.
Results: The average nighttime blood pressure in dipper hypertension (95.17 ± 8.200
mmHg) lower than during the day (102.08 ± 8.867 mmHg), p <0.001. Average blood pressure at
night in the group non-dipper (98.74 ± 8.51 mmHg) higher than the value of the day (96.65 ±
9.406 mmHg), p <0.01. Heart, eye, kidney and brain damage of the non-dipper hypertensive
group have higher than dipper group (p <0.01).
Conclusion: The average nighttime blood pressure in dipper hypertension lower than during
the day, p <0.001, while the average blood pressure at night in the group non-dipper higher than
the value of the day (p <0.01). Heart, eye, kidney and brain damage of the non-dipper
hypertensive group have higher than dipper group (p <0.01).
Key words: Elderly; ABPM; dipper, non-dipper hypertension; heart, fundus, kidney and
brain complications.




1/23/4

10].





 





2. So


U

nhân
 ,


 
ngang.
X 
  

; t 

2.3. t


3.1. Phân b ng nghiên cu theo nhóm tui
Bng 3.1. Phân b theo nhóm tui
Nhóm



n
%
n
%
60  74
6
16,7
30
83,3

6
13,6
38
86,4
Chung
12
15,0
68
85,0

Trung bình
75,00±6,9
76,09±8,3
p
> 0,05



Bng 3.2. So sánh bia 2 nhóm
Nhóm
HATB
Ban ngày
(mmHg)

(mmHg)
p
ABPM

102,08±8,86
95,17±8,20
<0,001

96,65±9,40
98,74±8,51
< 0,01
 

3.3. T 2 nhóm bnh nhân
Bng 3.3. T hai nhóm bnh nhân
Nhóm


Chung


p
n
%
n
%
Suy tim trên lâm sàng
12
4
33,3
8
66,7
< 0,01

22
2
9,09
20
90,91
< 0,01

66
7
10,6
59
89,4
< 0,01


66
7
10,6
59
89,4
< 0,01

c
Bng 3.4. Tt  hai nhóm bnh nhân
Nhóm

Chung


p
n
%
n
%

9
1
11,11
8
88,89
< 0,01

15
2

13,33
13
86,67

33
5
15,15
28
84,85

12
3
25,0
9
75,0

60
10
16,66
50
83,34
< 0,01


Bng 3.5. Tn  hai nhóm bnh nhân
Nhóm
ACR
Chung



p
n
%
n
%

28
6
21,42
22
78,58
<0,01

47
5
10,63
42
89,37

5
1
20
4
80

52
6
11,53
46
88,47

< 0,01
 l thn  nhóm b

Bng 3.6. T hai nhóm bnh nhân
Nhóm

Chung
Nhóm 
Nhóm 
p
n
%
n
%

73
10
14,28
63
85,72
< 0,05

7
2
28,57
5
71,43

7
2

28,57
5
71,43
i p
< 0,05.

IV. BÀN LUN

 i 60  74 chim t li 
chim t l i 60  74 chim t l 83,3% (30
BN), chim t l 86,4% (38 BN). Kt qu cho thy s BN tham gia nghiên cu theo hai
nhóm tui   
i cao tui bng ABPM nhn xét t l THA
 nhóm 60  74 tui là 70,97% và   i chim t l  y kt qu
nghiên cu ca chúng tôi không ging vi kt qu ca tác gi  do c
mu khác nhau.
4.2. Bi


 8,200mmHg/102,08
8,14mmHg/96,65
             
  

 14,39 mm

 20,27mmHg/114,2516,83/109,2022,73mmHg).
4.3. Mi liên quan gia bin thiên huyt áp 24 gi và t
                





khi [9] 
 


 


ng s 87% BN t 58,8%
có albumin niu vi th




mt ch 10%.
Nghiên cu ca chúng tôi cho thy t l tn chung ca c hai nhóm nghiên cu
u vi th chim 58,8% và albumin nii th là 6,3%. S khác bit
gihn 


 
ng Vc và cs [1] nghiên ci nhn xét t l
albumin niu vi th là 63,2%.
Ta chúng tôi  y tn
hung  hai nhóm BN THA chim 8,8% và ch có t 
thoáng thiu máu não  m t l 28,57% và 5
m t l




V. KT LUN
1. 


2. Tt, thn và não 
- < 0,05).


1. 
, .
2.  (2000), 
         
Minh.
3. 
 
 2010, tr. 1  51.
4.    
       
Trung, tr. 2  12.
5. 

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, Circulation, 81, pp. 528 
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