Analysis of influencing factors in patients with nocturnal hypertension
Objective The influencing factors of patients with nocturnal hypertension were analyzed.Methods From June 2022 to October 2023,396 patients with essential hypertension who underwent ambulatory blood pressure monitoring and had complete medical records in the Affiliated Hospital of North China University of Science and Technology were selected.According to the presence or absence of nocturnal hypertension,they were divided into nocturnal hypertension group(NH,n=232)and non-nocturnal hypertension group(NNH,n=164).The general situation,basic clinical data,24-hour ambulatory blood pressure parameters and blood pressure morphology of the subjects were recorded,and the influencing factors of nocturnal hypertension pa-tients were analyzed.Results Univariate analysis showed that there were significant differences in BMI,smoking,physical exercise,snoring,anxiety,nonalcoholic fatty liver disease and triglyceride level between NH group and NNH group(P＜0.05).Logistic stepwise regression analysis showed that Snoring,anxiety,non-alcoholic fatty liver disease,obesity and elevated serum creatinine were risk factors for nocturnal hyper-tension.Physical exercise and decreased serum sodium were protective factors for nocturnal hypertension.Conclusion The influencing factors of nocturnal hypertension are complex and diverse,which are related to many factors including physical exercise,snoring,anxiety,non-alcoholic fatty liver disease,obesity,elevated serum creatinine,and decreased serum sodium.Targeted measures should be taken to reduce the risk of noc-turnal hypertension.
Nocturnal hypertensionAmbulatory blood pressureAnalysis of influencing factors
万方数据
维普
