24h动态血压监测与家庭血压自测在原发性高血压诊治中的应用效果对比

Comparison of the effect of 24-hour ambulatory blood pressure monitoring and home blood pressure self-test in diagnosis and treatment of primary hypertension

目的探究24 h动态血压监测与家庭血压自测在原发性高血压诊治中的应用效果。方法选取2016年1月~2017年3月我院心血管内科收治的240例原发性高血压患者作为研究对象,按照信封随机分组方法分为常规组(120例)与实验组(120例),常规组采用24 h动脉血压监测,实验组在此基础上采用家庭血压自测培训,比较两组的血压与血压变异性。结果实验组干预后的血压水平低于干预前,差异有统计学意义(P<0.05);实验组干预后的血压水平低于常规组,差异有统计学意义(P<0.05);实验组干预后的24 h平均收缩压(SBP)为(128.52±7.45)mm Hg,低于常规组(137.56±7.96)mm Hg,差异有统计学意义(P<0.05);两组干预后24 h平均舒张压(DBP)比较,差异无统计学意义(P>0.05)。结论对原发性高血压患者给予24 h动态血压监测+家庭血压自测培训,便于在家中对血压进行监测,利于有效控制血压水平,改善血压变异性,值得采纳。

Objective To explore the application effect of 24 h dynamic blood pressure monitoring and home blood pressure self-measurement in the diagnosis and treatment of primary hypertension.Methods From January 2016 to March 2017,240 cases of patients with essential hypertension（EH） of cardiovascular internal medicine were adopted as the research object,and divided into normal group（120 cases） and the experimental group（120 cases） according to the envelope randomized method.The normal group routines used 24 h arterial blood pressure monitoring,and the experimental group routines used home blood pressure self-test training on basis the normal group.The blood pressure and blood pressure variability were compared between the two groups.Results After intervention,the experimental group′s blood pressure level was lower than before,the difference was statistically significant（P〈0.05）.After the intervention,the blood pressure level of the experimental group was lower than the normal group,the difference was statistically significant（P 〈0.05）.The experimental group′s 24 h SBP after the intervention was（128.52 ±7.45） mm Hg,lower than（137.56 ±7.96） mm Hg in the conventional group after the intervention,the difference was statistically significant（P〈 0.05）.There was no statistically significant difference in 24 h DBP after intervention between the two groups（P〉0.05）.Conclusion For the patients with primary hypertension,to adopt 24 h ambulatory blood pressure monitoring ＋ home blood pressure self-test training is easy to monitor blood pressure at home,effective to control blood pressure and to improve blood pressure variability.Which is worthy adopting.