100例高血压患者24小时动态血压测定

Assessment of 24-hour Ambulatory Blood Pressure Measurement(ABPM) in 100 Hypertensive Patients

100例高血压者的24小时动态血压测定（ABPM）研究发现：白大衣性高血压在全组、未用药和用药组中的发生率占20％左右，说明偶测血压的白大衣效应可引起高血压的过多诊断和低估了药物的降压效果。28％高血压者ABPM血压大于偶测血压。用药组中，偶测血压判断为满意控制者中有40％ABPM血压仍高于正常水平。这种由于正常活动的应激影响致使偶测血压高估了药物的降压效果。

To compare 24-hour ABPM with casual blood pressure in office site, 100 cases of hypertensive patients were studied. The results showed that white coat hypertension accounted for about 20% of patients in total group, in therapeutic and non-therapeutic groups and led to overdiagnosis the hypertension and underestimate the antihypertensive efficacy due to white coat effect. It also found that ABPM mean blood pressure was greater than casual blood pressure in 28% of Hypertensives and in therapeutic group which blood pressure was satisfyingly controlled by means of casual blood pressure, 40% of ABPM mean blood pressure was still greater than narmal level.The effect of stress in daily activities resulted in the overestimate of therapeutic efficacy by casual blood pressure. In conclusion, 24-hour ABPM in improvement of the diagnosis and assessment of the theraupoutic efficacy in hypertension was superior to traditional casual blood pressure.