清晨血压及血压晨峰的临床诊断价值

Clinical diagnostic value of early morning blood pressure and morning surge in blood pressure

目的 探讨清晨血压在疾病诊断中的临床价值。方法 对我院动态血压室近三个月的24h动态血压数据进行统计,分析心脑血管病患者的24h动态血压,对其清晨时段的血压状况进行研究。结果 308例普通高血压患者中有202例清晨时段血压控制不佳,心脑血管病患者中有70%～80%清晨血压控制不佳。结论 清晨血压升高在高血压患者中的发生率较高、危险性大,与心脑血管事件密切相关。清晨血压对隐匿性高血压的诊断具有临床意义。

Objective To discuss the clinical value of early morning blood pressure in disease diagnosis.Methods Statistical treatment was carried out on 24-hour ambulatory blood pressure da-ta collected in our ABPMRoom during the latest three months.For patients with cardio-cerebrovas-cular disease,their 24-hour ambulatory blood pressure was analyzed and the conditions of morning blood pressure were studied.Results There were 202 patients who had poor control of blood pres-sure in the early morning among 308 ordinary hypertension patients ,and the proportion was 70% -80% among the patients with cardio-cerebrovascular disease.Conclusion The incidence of blood pressure increase in the early morning among hypertension patients is relatively high and risky, closely related to cardio-cerebrovascular events.The early morning blood pressure proves to be clini-cally significant in diagnosing masked hypertension.