动态血压监测在慢性肾脏病患者中的应用及预后影响

Application of ambulatory blood pressure monitoring in patients with chronic kidney disease and the prognosis

目的探讨动态血压监测在慢性肾脏病(CKD)患者中的应用及对预后的影响。方法选取六安市第二人民医院2010年1月至2011年12月收治的100例CKD患者作为观察组,以同期在本院接受治疗的100例原发性高血压患者作为对照组。监测患者动态血压并将监测数据进行对比分析研究,随访2年,评估动态血压监测对预后的影响。结果观察组患者中非勺型血压比例显著高于对照组(P<0.01);随访2年,观察组中勺型血压CKD患者预后情况明显优于非勺型血压患者(P<0.05)。结论动态血压监测应用于慢性肾脏病患者中可提高血压监测准确率,对于预后评估具有重要指导价值。

Objective To investigate the application of ambulatory blood pressure monitoring in patients with chronic kidney disease（ CKD） and its effect on prognosis. Methods From Jan. 2010 to Dec. 2011,100 patients with CKD in the second people＇s hospital of Liuan were chose as observation group,and at the same time,100 patients with primary hypertension were chose as control group. The blood pressure was monitored and the monitoring data were compared and analyzed,the effect of ambulatory blood pressure monitoring on prognosis was assessed during 2 years follow-up. Results The proportion of nondipper hypertension in observation group was higher than that in control group（ P〈 0. 01）. During the 2-year follow-up,the prognosis of CKD patients with dipper hypertension in observation group was significantly better than that of patients with nondipper hypertension（ P〈 0. 05）. Conclusion Application of ambulatory blood pressure monitoring in patients with chronic kidney disease can increase blood pressure monitor accuracy,and it is important for prognostic evaluation.