动态血压监测的临床价值及正确使用

Clinical value and correct use of ambulatory blood pressure monitor

目的探讨动态血压监测对评估高血压患者血压控制情况以及临床疗效的价值,并分析应如何正确使用动态血压监测。方法选取2014年1月-2015年1月贵州省铜仁市人民医院收治的80例高血压患者,随机分为血压正常组和血压偏高组,每组各40例。对两组患者进行24 h动态血压监测,对比分析两组患者的监测结果。结果血压偏高组患者的白昼收缩压峰值与舒张压峰值分别为（168.25±15.25）mmHg、（95.75±12.34）mmHg,夜间收缩压峰值与舒张压峰值分别为（153.85±13.48）mmHg、（90.25±11.52）mmHg;血压正常组患者的白昼收缩压峰值与舒张压峰值分别为（160.25±10.25）mmHg、（91.35±11.25）mmHg,夜间收缩压峰值与舒张压峰值分别为（148.21±9.26）mmHg、（80.31±10.68）mmHg,组间差异均有统计学意义（P〈0.05）。血压偏高组患者的白昼血压负荷以及夜间血压负荷分别为63%和72%,血压正常组则分别为38%和41%。血压正常组患者的白昼血压负荷、夜间血压负荷均低于血压偏高组患者,组间差异均有统计学意义（P〈0.01）。结论对高血压患者实施动态血压监测,可以有效控制患者血压,对于患者正确使用高血压药物具有指导意义。

Objective To investigate the value of ambulatory blood pressure monitoring in evaluating blood pressure control and the clinical efficacy in patients with hypertension,and to analyze the correct use of ambulatory blood pressure monitoring. Methods Eighty patients with hypertension treated in Tongren People＇s Hospital from January 2014 to January 2015 were randomly divided into two groups： normal blood pressure group and high blood pressure group,40 cases in each group. 24 h ambulatory blood pressure monitoring were performed in the two groups,and the results of the two groups were compared. Results The daytime blood systolic pressure peakand diastolic blood pressure peak of the high blood pressure group were（168.25±15.25） mmHg,（95.75 ±12.34） mmHg,and the nighttime systolic blood pressure peak and diastolic blood pressure peak were（153.85±13.48） mmHg,（90.25±11.52） mmHg. The daytime systolic blood pressure peak and diastolic blood pressure peak in the normal blood pressure group were（160.25±10.25） mmHg,（91.35±11.25） mmHg,and the nighttime systolic blood pressure peak and diastolic blood pressure peak were（148.21±9.26） mmHg,（80.31±10.68） mmHg. There were significant differences between the two groups（P〈0.05）. The daytime blood pressure load and nocturnal blood pressure load were 63% and 72% in patients of the high blood pressure group. The daytime blood pressure load and nocturnal blood pressure load in normal blood pressure group were 38% and 41%,wiht significant differences（P〈0.01）. Conclusion Ambulatory blood pressure monitoring in patients with hypertension can effectively control blood pressure,which could provide guidance for patients with hypertension drugs.