慢性肾脏病分期与动态血压监测参数变化之间的关系。

IF 1.3 Q3 UROLOGY & NEPHROLOGY
André Murad Nagahama, Vanessa Dos Santos Silva, Vanessa Burgugi Banin, Roberto Jorge da Silva Franco, Pasqual Barretti, Silmeia Garcia Zanati Bazan, Luis Cuadrado Martin
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引用次数: 0

摘要

导言:血压(BP)评估会影响慢性肾脏病(CKD)动脉高血压(AH)的管理。慢性肾脏病患者在非卧床血压监测(ABPM)期间的血压行为具有特定的模式:本研究旨在评估 CKD 进展阶段与 ABPM 变化之间的关联:这是一项横断面研究,对象是 2004 年 1 月至 2012 年 2 月期间在一家大学医院门诊接受治疗的 851 名患者,他们接受了 ABPM 检查,以评估是否存在 AH 以及 AH 的控制情况。考虑的结果是 ABPM 参数。相关变量为慢性肾功能衰竭分期。混杂因素包括年龄、性别、体重指数、吸烟、慢性肾功能衰竭的原因以及使用降压药的情况:结果:无论混杂变量如何,收缩压(SBP)都与 CKD 3b 期和 5 期相关。脉压仅与第 5 期相关。收缩压(SBP)变异系数与 3a、4 和 5 期逐渐相关,而舒张压(DBP)变异系数则没有相关性。SBP 下降与 2、4 和 5 期相关,DBP 下降与 4 和 5 期相关。其他 ABPM 参数在调整后与慢性肾脏病分期没有关联:结论:慢性肾脏病晚期与夜间血压下降和血压变异性增大有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between chronic kidney disease stages and changes in ambulatory blood pressure monitoring parameters.

Introduction: Blood pressure (BP) assessment affects the management of arterial hypertension (AH) in chronic kidney disease (CKD). CKD patients have specific patterns of BP behavior during ambulatory blood pressure monitoring (ABPM).

Objectives: The aim of the current study was to evaluate the associations between progressive stages of CKD and changes in ABPM.

Methodology: This is a cross-sectional study with 851 patients treated in outpatient clinics of a university hospital who underwent ABPM examination from January 2004 to February 2012 in order to assess the presence and control of AH. The outcomes considered were the ABPM parameters. The variable of interest was CKD staging. Confounding factors included age, sex, body mass index, smoking, cause of CKD, and use of antihypertensive drugs.

Results: Systolic BP (SBP) was associated with CKD stages 3b and 5, irrespective of confounding variables. Pulse pressure was only associated with stage 5. The SBP coefficient of variation was progressively associated with stages 3a, 4 and 5, while the diastolic blood pressure (DBP) coefficient of variation showed no association. SBP reduction was associated with stages 2, 4 and 5, and the decline in DBP with stages 4 and 5. Other ABPM parameters showed no association with CKD stages after adjustments.

Conclusion: Advanced stages of CKD were associated with lower nocturnal dipping and greater variability in blood pressure.

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来源期刊
CiteScore
2.20
自引率
16.70%
发文量
208
审稿时长
16 weeks
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