妊娠期高血压疾病动态血压监测的应用分析

Application and analysis of ambulatory blood pressure monitoring for the patients with hypertensive disorder complicating pregnancy

目的:探讨妊娠期高血压疾病的动态血压监测变化。方法:选取山东省聊城市东昌府区妇幼保健院350例孕妇,进行24 h动态血压监测,跟踪观察其妊娠期血压变化。结果:69例为高血压疾病组A组,281例为对照B组,A组与B组比较,A组的24 h平均收缩压、夜间血压及血压昼夜节律异常率等指标明显高于B组,均有统计学意义(P<0.01)。A组心电图异常(室性早搏、房性早搏、窦性心动过速、ST-T改变)较B组突出,均有统计学意义(P<0.01)。结论:妊娠期,利用动态血压监测24 h平均舒张压和平均动脉压可很好地监测妊娠期高血压疾病。

Objective： To explore the changes of ambulatory blood pressure monitoring for the patients with hypertensive disorder complicating pregnancy （HDCP） . Methods ： A total of 350 pregnant women were selected from the hospital, then they underwent 24 - hour ambulatory blood pressure monitoring, the changes of blood pressure were followed up and observed. Results： Sixty - nine cases with HDCP were selected as HDCP group （A group）, and 281 normotensive cases were selected as control group （B group） . The 24 -hour mean systolic blood pressure, nighttime blood pressure, and the incidence of abnormal circadian rhythm of blood pressure in A group were significantly higher than those in B group （ P 〈 0. 01 ） . The incidences of abnormal electrocardiogram （ ventricular premature beat, atrial premature beat, sinus taehycardia, ST- T change） in A group were significantly higher than those in B group （P 〈 0. 01 ） . Conclusion： Monitoring 24 - hour mean diastolic blood pressure and mean arterial pressure dynamically during pregnancy can monitor HDCP effectively.