论文部分内容阅读
目的应用24h动态血压监测(ABPM)对高血压病进行时间治疗,以提高患者降压达标率和恢复患者正常血压模式。方法对40例常规降压方案血压未达标的高血压患者,应用ABPM了解血压水平、昼夜节律变化及血压模式,对其进行时间治疗,6～8周后复查ABPM重新评估患者血压控制水平、昼夜节律变化和血压模式。结果 40例患者血压全部达标,36例异常血压模式30例恢复正常模式。结论应用ABPM指导临床常规降压方案血压未能达标的高血压患者进行时间治疗,可显著提高患者降压达标率和恢复患者正常血压模式。
Objective To apply 24h ambulatory blood pressure monitoring (ABPM) to treat patients with essential hypertension in order to improve the standard of blood pressure and to restore the normal blood pressure of patients. Methods Forty patients with hypertension who did not meet the standard hypotensive regimen were enrolled in this study. ABPM was used to understand the changes of blood pressure, circadian rhythm and blood pressure pattern. The ABPM was reevaluated 6 to 8 weeks later to re-evaluate the blood pressure control, day and night Rhythm changes and blood pressure patterns. Results All 40 patients achieved blood pressure compliance, and 36 patients with abnormal blood pressure mode returned to normal mode. Conclusion Time-based therapy with ABPM to guide the blood pressure in patients with conventional blood pressure lowering regimen can notably improve the compliance rate of blood pressure and restore normal normotensive blood pressure.