动态血压和偶测血压监测对原发性高血压病的应用价值

Ambulatory and Casual Blood Pressure Monitoring in Patients with Essential Hypertention

对 60例原发性高血压病患者和 34例健康人进行 2 4h动态血压监测 ,并与偶测血压比较。结果显示 :高血压病患者的偶测血压值均高于动态血压均值 ( P<0 .0 1) ,而健康人无显著差异 ( P>0 .0 5 )。高血压病患者与健康人 2 4h血压节律均呈两峰一谷及昼高夜低的特点 ,但高血压病患者第一峰更为突出。认为动态血压较偶测血压对高血压病的诊断更为准确 ,对临床选择最佳用药时机指导价值亦更大。

To observe 24h ambulatory blood pressure(ABP)and casual blood pressure(CBP)in 60 patients with essential hypertention(EH),compared with 34 normal tensive persons(NP) The results showed that the mean values of ABP was significant lower than CBP′s in patients with EH(P<0 01) The diurnal curves in patients with EH or NP had two peaks and one valley,the average of daytime blood pressure was higher than that of nocturnality The 1st peak was higher in patients with EH than in NP significantly We believed that ABP monitoring was more valuable than CBP in the diagnosis of EH ABP monitoring also indicated an optimal time for clinical medication