动态血压监测在隐匿性高血压诊治过程中的临床评价

The clinical evaluation of ambulatory blood pressure monitoring in the course of diagnosis and treatment for occult hypertension

目的探讨动态血压监测(ABPM)在隐匿性高血压诊治中的应用价值。方法选取本院2011年1月～2012年2月门诊体检人员600例,根据年龄分为3组(青年组、中年组和老年组),采用动态血压检测仪进行24h动态血压监测,比较3组隐匿性高血压的发病率。结果中年组与老年组隐匿性高血压的发病率均明显高于青年组,差异均有统计学意义(P﹤0.05)。结论动态血压监测对隐匿性高血压的具有重要的诊断价值,有利于患者的早期诊断和及时治疗,值得临床推广和应用。

Objective To investigate the application value of dynamic blood pressure monitoring （ABPM） in diagnosis and treatment of masked hypertension. Methods Six hundred outpatient physical examination personnel were selected from January 2011 to February 2012 in our hospital, and they were divided into 3 groups depending on the age of the patients （youth group, middle-aged group and elderly group）, monitored 24 h ambulatory blood pressure using ambu- latory blood pressure measuring instrument, and compared occult hypertension incidence among 3 groups patients. Results The incidence of masked hypertension for the group of middle-aged and elderly group were significantly high er than that in young group, the differences were significant （P 〈 0.05）. Conclusion The ambulatory blood pressure monitoring had important diagnostic value for masked hypertension, was beneficial for patients with early diagnosis and prompt treatment, worthy of promotion and application.