The Study Of Blood Pressure In Different Posture And Postprandial Blood Pressure In Elderly Hypertensive Patients And Related Factors

Objective:To determine the elderly hypertensive patients in standing, sitting and supine blood pressure in different postures and postprandial blood pressure changes. Methods:This study randomly selected in January 2009-in June 2010 the Fifth Affiliated Hospital of Xinjiang Medical University clinic or hospital of 110 cases over the age of 60 hypertensive patients,105 cases of elderly non-hypertensive patients,102 cases of middle-aged hypertensive patients using desktop mercury sphygmomanometer by Korotkoff sound auscultation, measured supine, sitting, orthostatic blood pressure. Measured by sitting the patient's fasting postprandial blood pressure, fasting postprandial dynamic ECG heart rate detection, while monitoring the incidence of target organ damage were analyzed.Results:Elderly patients with hypertension in standing systolic and diastolic blood pressure decreased significantly, and sitting, supine, there was significant difference(P<0.01),and supine systolic and diastolic blood pressure increased significantly, and in standing and sitting for comparison statistically significant (P<0.01);elderly without hypertension orthostatic systolic and diastolic blood pressure decreased significantly, and the sitting, supine, there was significant difference (P<0.05),systolic and diastolic sitting and supine pressure difference was not statistically significant(P>0.05);middle-aged hypertensive patients standing, sitting and supine blood pressure systolic and diastolic blood pressure difference was not statistically significant(P>0.05);Elderly patients with hypertension and hypertensive middle-aged hypertensive group postprandial 1 hour blood pressure and heart rate were higher (P<0.05),while the old non-hypertensive group postprandial blood pressure and heart rate showed no significant difference (P> 0.05). Elderly patients with hypertension target organ damage should be higher than the rate of young patients with hypertension. Conclusion:Different bit body measurements of blood pressure measurements in elderly hypertensive patients with greater impact on postprandial blood pressure and heart rate in patients with hypertension increased significantly.