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目的:分析原发性高血压患者多时间节点自我血压监测的最佳方法和意义。方法:选择某干休所原发性高血压215例,进行多时间点血压监测,记录血压、脉搏及相关情况,连续监测1个月后进行数据分析。结果:血压出现较大波动的患者95%可以找到明确的原因或诱因,98%的波动情况与患者基本情况、服药情况相符合,出现不良情况时根据记录结果有助于早期诊治。结论:多时间节点自我血压监测容易操作,可及时发现血压波动的原因或诱因,同时对降血压药物的使用效果进行评价,并及时发现特殊情况,加以处理。
OBJECTIVE: To analyze the best method and significance of monitoring self-blood pressure at multiple time points in patients with essential hypertension. Methods: A total of 215 cases of essential hypertension in a dry-rest hospital were selected for blood pressure monitoring at multiple time points. Blood pressure, pulse rate and related conditions were recorded. Data were analyzed after one month of continuous monitoring. Results: Ninety-five percent of the patients with large fluctuations in blood pressure could find a clear cause or incentive. 98% of the fluctuations were in accordance with the patient’s basic conditions and medication, and in the event of adverse conditions, they could be helpful for early diagnosis and treatment. Conclusion: Self-monitoring of blood pressure at multiple time points is easy to operate and the reason or cause of fluctuation of blood pressure can be found in time. At the same time, the effect of antihypertensive drugs is evaluated, and special cases are found and treated in time.