隐性高血压与血压晨峰发生的关系  

Relationship between Masked Hypertension and Morning Blood Pressure Surge

作　　者：罗萍[1] 俞姝倩[1] 方小云[1] 陈艳梅[1] 

机构地区：[1]南昌大学第一附属医院心内科,南昌330006

出　　处：《实用临床医学（江西）》2013年第4期27-29,37,共4页Practical Clinical Medicine

摘　　要：目的探讨隐性高血压与血压晨峰发生的关系,为临床提供相应指导。方法将310例体检者根据偶测血压以及动态血压检测结果分为高血压组(n=100)、隐性高血压组(n=85)和正常血压组(n=125),分析3组人群一般资料、动态参数和血压晨峰发生情况。结果隐性高血压组和高血压组动态血压参数均显著高于血压正常组(P<0.01),而隐性高血压组和高血压组之间差异无统计学意义(P>0.05)。隐性高血压组患者血压晨峰发生率为35.3%,血压晨峰值为(28.9±8.1)mmHg,显著高于血压正常组[22.4%、(24.7±9.6)mmHg],但显著低于高血压组[51.0%、(34.8±12.7)mmHg],3组比较差异均有统计学意义(P<0.05)。结论隐性高血压与血压晨峰发生存在一定的关系,血压晨峰会加重靶器官的损害。Objective To investigate the relationship between masked hypertension and morning blood pressure surge, and to provide appropriate guidance for clinical treatment. Methods According to the casual and dynamic blood pressure measurements, 310 subjects were divided into three groups： hypertension group （n=100）,masked hypertension group （n=85）and normal blood pressure group （n= 125）. General data, dynamic blood pressure parameters and occurrence of morning blood pressure surge were analyzed in the three groups. Results Compared with normal blood pressure group, dynamic blood pressure parameters obviously increased in hypertension group and masked hypertension group（P〈0.01 ）. However, differences were not significant between the two groups （P〉0.05）. The incidence and value of morning blood pressure surge were, respectively, 35.3% and （28.9±8.1） mmHg in masked hypertension group, 22.4% and（24.7±9.6）mmHg in normal blood pressure group, and 51.0% and （34.8±12.7） mmHg in hypertension group. Differences were significant among the three groups （P〈0.05）. Conclusion Masked hypertension is correlated with morning blood pressure surge, which can aggravate target organ damage

关 键 词：隐性高血压 原发性高血压 血压晨峰 动态血压 

分 类 号：R544.1[医药卫生—心血管疾病]