24h动态血压监测中不同血压监测间隔对诊室高血压和隐匿性高血压的检出情况

Detection of different blood pressure monitoring intervals on the clinic hypertension and occult hypertension in 24h ambulatory blood pressure monitoring

目的探讨24h动态血压监测中不同血压监测间隔对诊室高血压和隐匿性高血压的检出情况。方法选取我院4 118例未用药人群进行血压监测,测量并比较不同受检者常规、24h、白天和夜间血压情况。结果本研究中,诊室高血压440例,隐匿性高血压400例,持续性高血压784例。隐匿性高血压组各时期SBP及DBP显著高于正常血压组(P<0.05)。结论 24h动态血压监测对于诊室高血压和隐匿性高血压的诊断尤为重要,需使用相对严格的血压值加以界定,任何时间点血压超过正常值即视为隐匿性高血压。

Objective To investigate the detection of different blood pressure monitoring intervals on clinic hypertension and occult hypertension in 24 h ambulatory blood pressure monitoring. Methods A total of 4 118 people without medication in our hospital were given blood pressure monitoring, and routine blood pressure, 24 hours, daytime and night blood pressure of different examiner were measured and compared. Results There were 440 cases of clinic hypertension, 400 cases of occult hypertension and 784 cases of persistent hypertension. The SBP and DBP at different periods in the occult hypertension group were significantly higher than those in the normal blood pressure group (P<0.05). Conclusion 24 h ambulatory blood pressure monitoring is particularly important for the diagnosis of clinic hypertension and occult hypertension, relatively strict blood pressure values should be used to define it, occul hypersension is considered when the blood pressure exceeds the normal value at any time point.