动态血压监测在高血压诊治中的价值

Value of ambulatory blood pressure monitoring in diagnosis and treatment of hypertension

目的分析动态血压监测应用于高血压诊治中的临床价值。方法选取2011年9月-2013年9月接收的高血压患者(研究组)以及血压正常的体检者(对照组)各70例,均分别进行动态血压和常规方式血压监测,对两组采用不同监测方式的24h血压和脉压监测值,以及白天和夜间的血压和脉压监测值分别比较分析。结果研究组在不同监测方式下,24h血压监测值以及白天和夜间血压平均监测值均存在明显性差别(P<0.05),对照组则均无明显性的差别(P>0.05)。结论动态血压监测应用于高血压诊治中,可对血压进行更准确的监测,利于临床诊治效果的改善和心脑血管疾病等发生率的降低,有重要的应用价值。

Objective To analyze the clinical value of ambulatory blood pressure monitoring in the diagnosis and treatment of hypertension. Methods Seventy hypertensive patients （study group） who were admitted to our hospital from September 2011 to September 2013, as well as 70 persons （control group） who showed normal blood pressure in physical examinations, were included in the study. Ambulatory blood pressure monitoring and conventional blood pressure monitoring were separately performed in each group, and the monitoring results （24-h blood pressure and pulse pressure, as well as daytime and nighttime blood pressure and pulse pressure） determined by the two monitoring methods were subjected to comparative analysis. Results The study group showed significant differences in 24-h blood pressure and mean values of daytime and nighttime blood pressure when given the two monitoring methods （P〈0.05）, but the control group showed no significant differences in these indices （P〉0.05）. Conclusion Ambulatory blood pressure monitoring can provide a more accurate assessment of blood pressure, thus improving the diagnosis and treatment of hypertension and reducing the incidence of cerebrovascular and cardiovascular diseases, and it is of great application value.