动态血压新的参数在老年高血压中的研究  

The Research of New Ambulatory Blood Pressure Parameters in the Elderly Essential Hypertension

作　　者：王吉[1] 骆雷鸣[2] 

机构地区：[1]海军总医院干部保健科,北京100048 [2]解放军总医院南楼临床部心血管二科,北京100853

出　　处：《医学综述》2015年第10期1791-1793,共3页Medical Recapitulate

基　　金：中央保健专项资金科研课题(B2009B108)

摘　　要：动态血压能实际反映24 h血压的总体水平、波动状况及昼夜变化规律,较诊室血压更接近真实,有利于高血压的诊断及治疗。动态血压主要新的参数血压变异性及血压晨峰与心、脑、血管等靶器官的损伤高度相关。高血压治疗中应考虑合理的降压治疗方案,正确选择药物及评价药物的疗效,避免J型曲线现象。新的参数成为老年人控制血压水平的重要目标。目前临床应用动态血压还只是间断性测量血压,其测量的完整性、精确性还需进一步研究。The ambulatory blood pressure monitoring can reflect the overall level,fluctuation and varia-bility of 24 h blood pressure,which is closer to reality than clinic blood pressure ,and is advantageous to the diagnosis and treatment of hypertension.The main new parameters of blood pressure—variability and morning blood pressure surge are highly related to the cardiovascular,brain,carotid damage and damage of other target organs.Reasonable antihypertensive treatment scheme should be considered in hypertension treatment ,correct selection of drugs and drug efficacy evaluation should be done to avoid the phenomenon of J type curve .The new parameters become important goals on the control of elderly blood pressure levels .The current clinical application of ambulatory blood pressure monitoring is only intermittent measure of blood pressure , the integrity and accuracy of which still need further study.

关 键 词：动态血压 老年人 血压变异性 晨峰 靶器官损伤 降压治疗 

分 类 号：R544.1[医药卫生—心血管疾病]