24 h动态血压监测在高血压患者中的应用评价

Application of 24-hour Ambulatory Blood Pressure Monitoring in Hypertensive Patients

目的探讨高血压患者24 h动态监测血压的应用效果。方法随机选取2014年1月—2017年12月该院收治的100例高血压患者为研究对象,依据有无合并脏器损害分为A组(单纯高血压,50例)和B组(高血压合并脏器损害,50例),两组患者均行24 h动态血压监测,对比观察两组监测结果。结果 B组24 h-SBP(153.9±13.6)mm Hg,24h-DBP(92.4±7.8)mm Hg,非杓型血压66.0%,d SSD(15.1±3.0)%,各项指标均高于A组,差异有统计学意义(t=8.44、7.35,χ~2=8.24,t=4.52,P<0.05)。结论 24 h动态血压监测能较准确的反映患者动态血压水平,对医生全面掌握患者血压水平、波动、靶器官损害等具有重要参考价值。

Objective To investigate the effect of 24-hour dynamic monitoring of blood pressure in hypertensive patients.Methods A total of 100 hypertensive patients admitted to the hospital from January 2014 to December 2017 were randomselected and included in the study. Patients were divided into group A （single hypertension, 50 cases） and group B （hypertension organ damage, 50 cases）. Both groups of patients underwent 24-hour ambulatory blood pressure monitoring. The results of the two groups were compared and observed. Results In group B, 24 h-SBP （153.9±13.6） mmHg, 24h-DBP （92.4±7.8） mmHg, non-dipper blood pressure 66.0%, dSSD （15.1±3.0）%, all indexes were higher than that of group A, with significance （t=8.44, t=7.35, X^2=8.24, t=4.52, P〈0.05）. Conclusion The 24-hour ambulatory blood pressure monitoring can accurately reflect the ambulatory blood pressure level of the patient, which is of important reference value for doctors to fullygrasp the patient＇s blood pressure level, fluctuations, and damage of target organs.