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目的探讨新疆和田地区维吾尔族自然长寿老人动态血压的特点。方法随机选取308例老年人,将年龄≥90岁的和田地区维吾尔族老人100例作为长寿组,年龄65～70岁的和田地区维吾尔族老人106例作为老年组,同期在我院门诊体格检查的60～85岁的汉族老人102例作为对照组,3组进行24 h动态血压监测,分析相关参数指标,并进行统计学分析。结果长寿组老人高血压患病率与其他2组比较,无统计学差异(P>0.05)。长寿组老人的24 h舒张压(DBP)低于老年组,而高于对照组,昼间收缩压(SBP)及DBP均低于老年组和对照组,24 h平均脉压指数高于老年组,而低于对照组。均有统计学差异(P<0.05);长寿组老人24 h SBP和24 h平均脉压均低于老年组和对照组.无统计学差异(P>0.05)。结论新疆和田地区维吾尔族长寿老人高血压患病率有降低趋势,有其自身的动态血压变化的特点,发生靶器官损害的风险亦相对较低,可能是长寿的部分因素。
Objective To investigate the characteristics of ambulatory blood pressure of the elderly with natural longevity in Uyghur nationality in Hetian, Xinjiang. Methods A total of 308 elderly were randomly selected. One hundred elderly Uyghur aged 90 years old in Hetian were selected as the longevity group, and 106 elderly Uyghur population aged 65-70 years in the Hetian region as the elderly group. At the same period, their physical examination in our hospital A total of 102 Chinese Han elderly from 60 to 85 years old served as the control group. The patients in the three groups were monitored for ambulatory blood pressure at 24 hours. The related parameters were analyzed and statistically analyzed. Results There was no significant difference in the prevalence of hypertension between the two groups in the longevity group (P> 0.05). The 24 h diastolic blood pressure (DBP) in the longevity group was lower than that in the elderly group, while SBP and DBP in the longevity group were lower than those in the elderly group and the control group, and the mean pulse pressure index at 24 h was higher than that in the elderly group , But lower than the control group. (P <0.05). The SBP and 24-h mean pulse pressure in the longevity group were lower than those in the elderly group and the control group at 24 h (P> 0.05). Conclusions The prevalence of hypertension among the Uyghur longevous elderly people in Hotan area of Xinjiang Autonomous Region tends to decrease with its own characteristics of dynamic blood pressure changes. The risk of target organ damage is also relatively low, which may be part of the longevity.