动态血压监测临床应用进展

Progress of the clinical application of ambulatory blood pressure monitoring

高血压是最常见的心血管病,是脑卒中、心力衰竭、心肌梗死、肾功能不全等严重疾病最重要的危险因素。而动态血压监测(ABMP)被认为是高血压最准确的诊断方法,在高血压的诊断及治疗领域的地位不断提高。但在临床应用中,ABMP仍存在一些突出的问题,如使用不规范、不能正确解释监测结果、夜间睡眠期间测量血压时干扰睡眠是否会影响测量准确性等,尚无一致意见?这些都严重制约和影响了ABMP的健康发展与广泛开展。本文综述ABMP在高血压诊断、治疗和降压效果评估中的应用进展。

Hypertension is the most common cardiovascular disease, and is the most important risk factor for severe diseases of stroke, heart failure, myocardial infarction, renal insufficiency and others. Ambulatory blood pressure monitoring（ABPM） is considered to be the most accurate diagnostic method in the diagnosis of hypertension. In the field of diagnosis and treatment of hypertension, its status has increased continuously. But in the process of clinical application, there are still some prominent problems in ABPM, such as non-standard usage, incorrect interpretation of the monitoring results, and whether measuring the blood pressure during the night sleep interferes with the measured accuracy, etc. There is no consensus. All these have seriously restricted and influenced the healthy and extensive development of ABPM. This paper reviews the application progress in the diagnosis and treatment of hypertension and evaluation of antihypertensive effect of ABPM.