124例难控制性白大衣高血压患者的诊治体会

Diagnosis and treatment of 124 patients with uncontrollable white coat hypertension

目的通过追踪相关难控制性白大衣高血压(WIH)患者,探讨病因及诊治体会。方法回顾性分析本院2015年1月至2019年3月收治的WIH患者124例的临床资料,包括用药情况、年龄段分布情况、平均心率水平、诊室内外差值、合并紧张焦虑、抑郁状态、双心、睡眠障碍等情况。结果WIH患者平均心率水平高,易合并紧张焦虑、睡眠障碍。结论WIH患者可能与白大衣效应导致交感神经的过度活跃、压力的升高及情绪焦虑抑郁有关,应首选使用β受体阻滞剂进行治疗。

Objective To investigate the etiology,diagnosis and treatment of refractory white coat hypertension(WIH).Methods The clinical data of 124 patients with wih from January 2015 to March 2019 were analyzed retrospectively.The drug use,age distribution,average heart rate,difference between the inside and outside of the clinic,combined with anxiety,depression,double heart and sleep disorders were analyzed.Results The average heart rate of patients was high,which was easy to be combined with anxiety and sleep disorders.Conclusion WIH patients may be related to sympathetic hyperactivity,increased pressure and emotional anxiety and depression caused by white coat effect,and should be treated with β receptor blocker first.