动态血压监测在高校社区老年高血压并脑卒中的应用

Clinical value of Ambulatory Blood pressure Monitoring in patients with stroke

目的研究24小时动态血压监测(ABPM)对老年高血压并脑卒中病人的临床应用价值。方法使用美国MEIGAOYI无创动态血压监测仪对38例高血压并脑卒中患者及38例Ⅰ级高血压患者进行24小时动态血压监测。结果老年高血压并脑卒中患者收缩压负荷、夜间收缩压升高明显,为非杓型血压。结论 24小时动态血压监测在预测老年高血压并脑卒中有一定的价值,对老年高血压并脑卒中患者要平稳降压尤其应恢复患者的昼夜血压节律。

Objective To investigate the clinical value of 24 hours ambulatory blood pressure monitoring （ABPM） in the patients with Stroke. Methods 38 elderly hypertension with Stroke and 38 patients with essential hypertension through 24 hours using MEIGAOYI ambulatory blood pressure monitor. Results Comparison finds elderly hypertension patients with Stroke and essential hypertension patients have lost normal blood pressure day and night rhythm, esperially in aspect of obvious increasing of systolic pressure load and night systolic pressure. Conclusion For such elderly hypertension patients with Stroke treat not only lower down too high blood pressure .but also lower blood pressure steadily throughout 24 hours in the day and resume day and night rhythm.