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目的探讨动态血压监测(ABPM)在临床应用中的价值。方法对314例有症状的患者监测24 h血压,8:00~22:00每30 min测血压1次,22:00~8:00每60 min测血压1次。监测期间日常生活不受限制。结果检出夜间低下型189例,全日型45例,夜间血压上升型54例,白大衣高血压和临界高血压26例,根据血压与心率的关系,合理选择降压药物及用药时间。结论偶测血压增高者,不应轻易诊断为高血压或服用降压药物,应行动态血压监测后再确定治疗方案。
Objective To investigate the value of ambulatory blood pressure monitoring (ABPM) in clinical application. Methods Blood samples were collected from 314 symptomatic patients for 24 hours. Blood pressure was measured every 30 minutes from 8:00 to 22:00. Blood pressure was measured once every 60 minutes from 22:00 to 8:00. Daily life during the monitoring period is not limited. Results 189 cases of nocturnal low type, 45 cases of full-time type, 54 cases of nocturnal hypertension, 26 cases of white coat hypertension and critical hypertension were detected. According to the relationship between blood pressure and heart rate, a reasonable choice of antihypertensive drugs and medication time. Conclusions Even if the blood pressure is increased, it should not be easily diagnosed as hypertension or taking antihypertensive drugs, and the treatment plan should be determined after ambulatory blood pressure monitoring.