ABPM

摘要： [Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constitutions,in order to provide new ideas for the treatment of patients with hypertension and insomnia.[Methods]Cross sectional observation method was used,and 420 patients with hypertension and insomnia were selected.Required information was collected,and the constitution type of traditional Chinese medicine was determined,and relevant data were recorded.SPSS and Logistic regression analysis method were used to explore the correlation between the distribution of TCM constitution types and gender,age,24 h-SBP,24 h-DBP,24 h-BPV,PSQI score,etc.[Results]Among 420 patients,the proportion of gentleness constitution was the most,and others in turn were Qi deficiency constitution>Yang deficiency constitution>phlegm dampness constitution>Qi stagnation constitution>Yin deficiency constitution>blood stasis constitution>damp heat constitution>special constitution.Among male patients,the proportion of gentleness constitution was the most.Among female patients,the proportion of Qi deficiency constitution was the most.In each constitution,the proportion of men and women was different,and the difference in gentleness constitution,Qi deficiency constitution and Yin deficiency constitution had statistical significance(P<0.05).The proportion of gentleness constitution for young and middle-aged patients was the most,while elderly patients with Qi deficiency constitution was the most.There was difference in the distribution of TCM constitution in different age groups,and the difference had statistical significance(P<0.05).Compared with the patients with gentleness constitution,the patients with Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,damp heat constitution,blood stasis constitution and Qi stagnation constitution had different differences in terms of age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score,and there was statistical significance(P<0.05).Except damp heat constitution,blood stasis constitution and special constitution,other constitutions had certain correlation with age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score.[Conclusions]TCM constitution types of patients with hypertension and insomnia were dominant by gentleness constitution,Qi deficiency constitution and Yang deficiency constitution.The distribution of TCM constitution in different gender and age groups was different,and different TCM constitution was related to ABPM and PSQI.

摘要： 变应性支气管肺真菌病(Allergic bronchopulmonary mycosis, ABPM)是机体对气道内真菌发生超敏反应的变应性疾病,而普通裂褶菌(Schizophyllum commune)是其中一种罕见的致病菌,现将1例普通裂褶菌引起的变应性支气管肺真菌病(Sc-ABPM)及文献复习报告如下。病例资料患者,男,64岁,因“活动后憋喘伴咳嗽咯痰4月余”于2021年12月3日入住我科。

摘要： 目的:分析早期大脑中动脉粥样硬化伴急性脑梗死诊断中动态血压监测(ABPM)、经颅多普勒超声(TCD)联合颈动脉血管超声检查所具有的临床价值。方法:选取70 例动脉粥样硬化伴急性脑梗死患者作为观察组研究对象,选取70 例健康人作为对照组研究对象。对两组ABPM、TCD、颈动脉血管超声检查结果进行分析比较。结果:两组舒张压(包括全天、白天舒、夜间平均舒张压)差异无统计学意义(P>0.05);观察组收缩压(包括全天、白天、夜间平均收缩压)与平均脉压(包括全天、白天、夜间平均脉压)和对照组比较,差异有统计学意义(P<0.05);晨峰血压异常发生率比较,观察组(84.29%)明显高于对照组(4.29%)(P<0.05);观察组颈部血管狭窄、血流速度异常、颈动脉斑块形成、不稳定斑块检出率分别为91.43%、94.29%、98.57%、71.43%,与对照组比较差异均有统计学意义(P<0.05)。结论:早期大脑中动脉粥样硬化伴急性脑梗死诊断中行ABPM、TCD、颈动脉血管超声联合检查,可有效掌握患者24h 血压变化情况、血流动力学变化情况以及病变位置,评估患者病情严重程度,从而为疾病诊疗提供有益参考,更好保障患者生命安全。

摘要： 目的 探讨老年高血压患者血压昼夜变化的规律和相关护理对策.方法 选择我院的180例老年高血压患者作为研究对象,并对所有患者实施相关护理措施,使用动态血压检测仪(ABPM)对患者的血压进行24h监测,然后分析患者血压昼夜节律性.结果 ABPM可以有效地监测患者的血压情况,为临床治疗提供了重要的数据.结论 对老年高血压患者实施护理干预,使用动态血压监测仪来辅助治疗,提高了临床效果和患者满意度,对患者康复十分重要.

摘要： （1）诊所血压迭标后，要注意是否能维持24小时都保持在理想平稳水平，一般分别在服药前、药效高峰时、晚睡前测量血压；有条件／必要时可以进行ABPM评估。

摘要： Essential hypertension is a difficult diagnosis in children and the gene of the renal-epithelial chloride channel ClC-Kb is potentially predisposing. In vitro studies have shown that a common ClC-Kb threonine481serine (T481S) polymorphism leads to enhanced chloride channel activity and may predispose for hypertension (HT). We therefore analysed children at risk for HT for the T481S polymorphism and associated genotype with blood pressure (BP) status. A total of 48 children with essential hypertension (mean age 14.4 ±2.7 years, 26 male;22 female;mean BP 143.4 ±7.5/88 ±5.8 mmHg) were compared with 78 children with white-coat HT (WCHT), who showed occasionally hypertensive BP values, which were not confirmed by ambulatory blood pressure monitoring (mean age 13.7 ±2.5 years, 49 male, 29 female;mean BP 122.4 ±4.3/68.2 ±3.5 mmHg). Other causes of HT were excluded. Allelic frequencies of hypertensive patients were not significantly different from those with WCHT (HT: A 0.84;T 0.16 vs. WCHT: A 0.85;T 0.15). However, the T-allele was observed more frequently in WCHT subjects with systolic and diastolic BP exceeding the 90th percentile (A 0.71;T 0.29, n = 34, p 0.05, considered as borderline hypertensive). The preliminary data suggest that children with WCHT carry the ClC-Kb T481S polymorphism more often and that this variant may predispose for development of arterial HT.

摘要： 目的探讨中老年人24 h动态血压(ABPM)变化的规律及临床意义。方法对53例中老年人群进行24 h ABPM,观察血压波动状况及其昼夜变化规律。结果 53例中夜间血压下降异常者中,收缩压下降异常者41例,舒张压下降异常者36例,同时按是否是高血压进行分组,发现高血压组昼夜节律较正常血压组异常率更高。结论中老年人随着年龄增长血压昼夜变化规律也逐步减弱或消失,尤其是高血压患者这种变化规律减弱更明显,甚至消失。

摘要： 传统BP算法预测混凝土强度时,收敛速度慢,易陷入局部最小,影响预测的结果.使用ABPM算法对传统Bp神经网络法进行改进,提高了混凝土强度预测的精度.

摘要： 正卡维地洛是获准用于高血压治疗的一种β1、β2和α1肾上腺素能阻断剂。在一项双盲、随机化、多中心、安慰剂对照、平行组研究中,一种日服1次的新型卡维地洛的控释(CR)剂已被证实可有效地治疗原发性高血压。