家庭血压监测对社区高血压病人血压控制的价值探讨

The Change of Blood Pressure in Patients with Hypertension by Home Blood Pressure Monitoring

目的:观察家庭自测血压对高血压病人血压变化的影响。方法:212例门诊高血压病人经过家庭自测血压培训,进行规定的家庭血压监测,持续3个月,观察监测前后动态血压参数的变化。结果:与监测前相比,监测3个月后24h收缩压、白天收缩压、夜间收缩压均有明显降低(P<0.05);在监测3个月后白天平均压和24h平均压也有明显降低(P<0.05)。结论:通过规律的家庭自测血压,可使患者整体血压水平降低,从而有利于提高高血压的控制率和降低高血压的并发症。

Objective： To observe the change of blood pressure,by means of home blood pressure monitoring in patients with hypertension.Method： 212 patients with hypertension were included to proceed home blood pressure monitoring for three months.The data of ambulatory blood pressure monitoring before and after the home blood pressure monitoring were recorded and analyzed.Result： After regular home blood pressure monitoring for three months,the 24h-systolic blood pressure,day systolic blood pressure,and night systolic blood pressure were depressed（P0.05）,and the day mean blood pressure and 24h mean blood pressure were lowered significantly（P0.05）.Conclusion： By means of regular home blood pressure monitoring,the total level of blood pressure are controlled lower in patients with hypertension.It is beneficial for improvement of controlling rate of hypertension and decreasing of complication.