远程家测血压交互管理对一过性高血压患者的临床效果分析  

Clinical analysis of home blood pressure monitoring in patients with transient hypertension

作　　者：张远凤[1] 蒋晓江[1] 周红杰[1] 刘雅贞[1] 郎莹[1] 杨信举 

机构地区：[1]陆军军医大学大坪医院野战外科研究所神经内科三病区,重庆400042

出　　处：《重庆医学》2017年第34期4805-4806,4809,共3页Chongqing medicine

摘　　要：目的筛查常规高血压管理人群中一过性高血压的发生率并进行相关病因、构成比分析。方法对神经内科门诊及住院患者诊室血压及24h动态血压达到高血压诊断标准者,进行远程连续家测血压跟踪的医患交互式管理,连续观察2个月家测血压数据,血压正常者纳入一过性高血压的入选标准并排除症状性高血压,分析病因并随访观察。结果 300例符合高血压诊断标准的患者中,符合一过性高血压标准的病例为46例,占15.3%。观察病例中导致一过性高血压的病因及构成比依次为:焦虑抑郁状态25例(54.3%),急性脑血管病8例(17.4%),睡眠障碍7例(15.2%),各种头面痛4例(8.7%),癫痫强直阵挛1例(2.2%),眩晕发作1例(2.2%)。结论实施远程家测血压医患交互式管理有利于发现一过性高血压的人群,避免过度降压药物治疗。Objective TO screen the incidence of transient hypertension in conventional hypertensive management population of hypertension and analysis it＇s related etiology and constituent ratio. Methods People who met the diagnosis of hypertension were selected from inpatient and outpatient of this department. All patients were followed up for 2 months of home blood pressure monitoring,if the patients who were normal when monitoring home blood pressure were included in the trial and symptomatic hyperten- sion was excluded. Results Three hundred of patients met the diagnostic criteria for hypertension, 46 cases （15.3%） met the standard of transient hypertension, the etiology and constituent ratio of transient hypertension in the observed cases were as follows：25 cases （54.3%） of anxiety and depression,8 cases （17.4%） of acute cerebrovascular disease,7 cases （15.2%） of sleep disorders, 4 cases（8.7 % ） of a variety of head and face pain, 1 （2.2 % ） case of epilepsy tonic clonus, 1 （2.2%） case of vertigo. Conclusion The application of interactive management of home blood pressure measurement is particularly helpful for screening patients with transient hypertension,and it can timely avoid excessive anti-hypertensive treatment.

关 键 词：一过性高血压 远程家测血压管理 病因 

分 类 号：R544.1[医药卫生—心血管疾病]