不同生物节律下动脉高血压患者血压变化的性别特征

Khrystyna Novak-Mazepa, M.I. Marushchak
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摘要

背景。众所周知,心血管疾病的风险,特别是在生活节奏加快、心理情绪紧张、社会灾难的情况下,与各种生物节律有关,因此,考虑到患者的生物钟类型,研究各种因素对高血压病程的影响仍然是有意义的。本研究的目的是分析不同时间型女性和男性动脉高血压患者的血压水平。材料与方法。该研究包括42名被诊断为原发性动脉高血压的患者,他们正在接受住院治疗。纳入标准为2度高血压患者。采用Korotkoff法测量收缩压(SBP)和舒张压(DBP) (mmHg)。为了研究时间类型,我们使用了经过验证的问卷“晨性综合量表”和官方可获得的量表。结果与结论。夜间时间型、早晨时间型和中间时间型分别有33.33%、7.17%和59.53%的患者诊断为动脉高血压。考虑到性别,女性患者以晚上和早晨的时间型为主,男性患者以中间时间型为主。与中、早睡眠型患者相比,晚睡眠型患者的体重指数(BMI)、病程(42.68%、6.23%)和收缩压(8.21%、12.21%)均显著高于早睡眠型患者。与此同时,具有夜间睡眠类型的动脉高血压患者的BMI尽可能接近肥胖。研究结果可用于护理人员的实际工作中,通过调整睡眠、清醒时间和饮食来预防动脉性高血压。关键词:睡眠类型,性别,年龄,体重指数,关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender peculiarities of blood pressure changes in patients with arterial hypertension and different biorhythms
Background. It is known that the risk of cardiovascular diseases, especially in conditions of increased rhythm of life, psycho-emotional stress, social cataclysms, is associated with various biorhythms, therefore, the study of the influence of various factors on the course of hypertension, taking into account the patient's chronotype, remains relevant. Aim of the study was to analyze the level of blood pressure in patients with arterial hypertension with different chronotypes of the female and male genders. Materials & Methods. The study included 42 patients with diagnosed essential arterial hypertension who were receiving inpatient treatment. The inclusion criterion was patients with arterial hypertension of the 2nd degree. Measurements of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) (mmHg) were performed using the Korotkoff method. To study the chronotype, we used the validated questionnaire "Composite Scale of Morningness" and scales from official available sources. Results & Conclusions. Arterial hypertension was diagnosed in 33.33% of patients with the evening chronotype, 7.17% with the morning chronotype, and 59.53% with the intermediate chronotype. Taking into account gender, female patients with evening and morning chronotypes and male patients with an intermediate chronotype predominated. Patients with evening chronotype compared to patients with intermediate and morning chronotypes had significantly higher Body Mass Index (BMI) (by 62.69% and 40.33%), disease duration (by 42.68% and 6.23%) and SBP (by 8.21% and 12.21%), respectively. At the same time, BMI in patients with arterial hypertension with an evening chronotype was as close as possible to obesity. The obtained results can be used in the practical work of nurses for the prevention of arterial hypertension by adjusting the duration of sleep and wakefulness and the diet. Keywords: chronotype, gender, age, body mass index, relationships.
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