24小时动态血压诊断高血压的临床意义

Clinical significance of 24 hours ambulatory blood pressure in the diagnosis of hypertension

目的:研究分析24 h动态血压诊断高血压的临床意义。方法:2012年11月-2013年11月收治高血压患者200例,使用24 h动态血压诊断法对其血压进行动态监测并整理所得数据,结合数据对其病情等临床资料进行评估。结果:200例患者中,杓型高血压71例(35.50%),非杓型129例(64.50%);符合ABPM标准174例(87.00%);"白大衣"高血压26例(13.00%);血压负荷值存在异常(血压负荷增重)158例(79.00%)。结论:24 h动态血压诊断高血压能够较为完整地显示患者血压相关数据变化,对于高血压患者的临床诊断、病情评估均有着较为显著的临床意义。

Objective:To study and analyze the clinical significance of 24 hours ambulatory blood pressure in the diagnosis of hypertension.Methods:200 patients with hypertension were selected from November 2012 to November 2013.The blood pressure was given dynamic monitoring by using 24 hours ambulatory blood pressure diagnosis method and the data were systemized.The condition and other clinical data were evaluated combined with data.Results:In 200 patients,71 cases(35.50%) were dipper type hypertension;129 cases(64.50%) were non dipper type.174 cases(87%) were in accordance with ABPM standard;26 cases(13%)were 'white coat' hypertension;158 cases(79%) were abnormal blood pressure load(blood pressure load weight).Conclusion:24hours ambulatory blood pressure in the diagnosis of hypertension can relatively complete display blood pressure relevant data changes of patients.It has a significant clinical significance on the clinical diagnosis and disease severity in patients with hypertension.