动态血压监测在高血压诊治中的价值分析

The Value Analysis of Ambulatory Blood Pressure Monitoring in the Diagnosis and Treatment of Hypertension

目的探讨动态血压监测在高血压诊治中的价值。方法选取2013年10月到2014年10月我院接收的原发性高血压患者94例作为本次研究的对象,把患者依据1∶1的比例分成对照组和观察组,两组分别有47例患者,对照组采用偶测血压监测,观察组采用动态血压监测,对比两组患者的检查效果。结果观察患者24 h动态血压监测值要明显优于对照组,差异具有显著性(P<0.05);且观察组患者在白天与晚上不同时间段的血压监测值对比具有明显差异(P<0.05)。结论原发性高血压患者采用动态血压监测,能够更加准确地监测患者血压,能够为临床合理用药提供参考依据,拥有较高的临床价值,值得在临床上大力推广应用。

Objective To discuss the value of ambulatory blood pressure monitoring in the diagnosis and treatment of hyperten- sion. Methods 94 cases of primary hypertension that were treated in our hospital from October 2013 to October 2014 were selected as the object of this study. They were equally divided into the control group and observation group, each with 47 cases. The control group was treated with casual blood pressure monitoring, and the observation group was under ambulatory blood pressure monitoring. Then the examination results were compared between the two groups. Results The ambulatory blood pressure monitoring value of patients in the observation group within 24h was superior to that of the control group. The difference was statistically significant （ P〈0. 05 ）. In addition, the ambulatory blood pressure monitoring value of patients in the observation group showed statistical significance between different time periods in the day time and at night （ P〈0. 05 ）. Conclusion Ambulatory blood pressure monitoring can be used to monitor primary hypertension with more accuracy. It can provide reference for clinical rational drug use, thus it has high clinical value and is worthy of being promoted in the clinical application.