高血压病以昼夜血压模式指导治疗初探

Study by diurnal blood pressure model guiding treatment in essential hypertension

目的 探讨高血压以昼夜血压模式指导药物治疗的疗效。方法 12 4例高血压患者被随机分为两组 :观察组 80例 ,采用以昼夜血压模式为依据 ,指导选用药物进行治疗 ,着重加强异常升高血压部份的降压治疗 ,同时加强血压监测 :对照组仍按照常规方法治疗。 6周为 1疗程。治疗前和治疗后都检测血压和 2 4小时动态血压。结果 观察组降压的总有效率和昼夜血压模式转为正常杓形态明显高于对照组。结论 高血压病患者以昼夜血压模式为依据指导用药降压治疗有较好的医疗效果。

Objective To study the efficacy by diurnal blood pressure model guiding drug therapy in the patients with hypertension.Method 124 patients with hypertension were divided two groups:observation group 80 cases,were treated by diurnal blood pressure model guiding to elect drugs,emphasis treating the abnormal high blood pressure part and examining the blood pressure.Contrast group 44 cases,were treated by routine ways.Both group were treated for 6 weeks.Blood pressure,24 hour ambulatory blood pressure were evaluated before and after drugs therapy.Results Total response rate and diurnal blood pressure model turn into normal dipper in observation group was higher than that of Contrast group after treatment.Conclusion It is more effective by diurnal blood pressure model guiding drugs therapy in the patients with hypertension.