高血压患者自我血压监测与非监测者调查结果与分析

Investigation on Outcome of Blood Pressure Self-monitoring and Non-monitoring in Hypertensive Patients

目的 :了解武汉市部分高血压患者血压监测与非监测者在血压控制、心血管危险分层之间是否存在差异。方法 :在我院体检中心体检确诊为高血压、病史 >1年的 2 4 97例高血压患者中随机入选 2 6 0例进行问卷调查。能坚持每周测 3d ,每天测 2次血压者为自测组 ,其余为非自测组。将 2组患者不停止治疗的情况下统一测量血压连续 2d ,每天 2次 ,诊断标准及心血管危险分层按《中国高血压防治指南》为准。结果 :2 6 0例中符合自测组患者仅 32例 ,非自测组 2 2 8例 ,自我监测率为 12 .3% ;平均收缩压 (SBP)自测组为 12 6 .34± 6 .10mmHg ,非自测组为14 5 .0 7± 11 0 0mmHg ,平均舒张压 (DBP)自测组为 80 .6 9± 5 .0 6mmHg,非自测组为 90 .4 3± 6 .11mmHg。高血压控制、分级及心血管危险分层 ,2组差异有显著性 (P <0 .0 1)。结论 :武汉市自我血压监测的患者血压控制理想 ,心血管危险分层多为低危 ,而非监测患者血压控制不理想 ,心血管危险分层多为高危和很高危。

Objective:To investigate the difference in blood pressure controlling, cardiovascular risk stratification in partial hypertensive patients subject to blood pressure self-monitoring or non-monitoring in Wuhan city. Methods:Of the 2497 patients with hypertension diagnosed by Center of Physical Examination with a history of over one year, 260 were randomly selected to undergo a questionnaire survey. Those patients with blood pressure monitoring for 3 days every week, 2 times every day served as self-monitoring group, and the ramaining as non-monitoring group. Two groups were continuously monitored for blood pressure 2 days, 2 times every day (under the circumstance of not give rise to treatment). Diagnositic criteria and stratification were according to the Guiding of Chinese Hyperpertension Prevention and Treatment (1999). Results:In 260 patients, 32 falled into self-monitoring group and 228 into non-monitoring group. The rate of hypertensive self-monitoring was 12.3 %. The mean systolic blood pressure (SBP), mean diastolic blood pressure were 126.34±6.1 mmHg, 80.69±5.06 mmHg in the self-monitoring group and 145.07±11 mmHg, 90.43±6.11 mmHg in the non-monitoring group, respectively. There was significant difference in blood pressure controlling, blood pressure grading, and cardiovascular risk stratification between the two groups ( P <0.01). Conclusion:The rate of blood pressure self-monitoring was about 12.3 %. In the self-monitoring group, the blood pressure controlling was ideal and the cardiovascular risk stratification was at a lower risk, but in the non-monitoring group, the blood pressure controlling was not ideal and the cardiovascular risk stratification was at a higher risk or very high risk.