24小时动态血压监测对改善高血压病患者生活质量的应用和推广  

Application and Promotion of 24-hour Ambulatory Blood Pressure Monitoring in Improving the Quality of Life of Patients with Hypertension

作　　者：王华友 WANG Hua-you(Department of Emergency,Zhuhai Gaolan Port Economic Zone Health Center,Zhuhai 519050,Guangdong Province,China)

机构地区：[1]珠海高栏港经济区卫生院急诊科,广东珠海519050

出　　处：《罕少疾病杂志》2020年第1期14-16,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨24小时动态血压监测对改善高血压病患者生活质量的应用效果。方法选取130例高血压病患者,随机分为观察组和对照组各65例。观察组患者进行24小时动态血压监测,对照组患者为偶测血压。比较两组患者半年内的服药依从率、血压控制率、心血管不良事件发生率以及生活质量。结果观察组患者服药依从率、血压控制率高于对照组,心血管不良事件发生率低于对照组(P<0.05)。监测1个月、3个月、6个月与监测前比较,观察组生活质量得分均升高(P<0.05),且观察组生活质量得分大于对照组(P<0.05)。结论 24小时动态血压监测为临床用药提供合理依据,有效监测血压、控制血压,降低心血管不良事件的发生风险,有助于提高患者生活质量。Objective To explore the application effect of 24-hour ambulatory blood pressure monitoring in improving the quality of life of patients with hypertension. Methods A total of 130 patients with hypertension were selected and randomly divided into observation group and control group, with 65 cases in each group. Observation group was given 24-hour ambulatory blood pressure monitoring, and control group was with casual blood pressure. The drug compliance rate, blood pressure control rate, incidence rate of cardiovascular adverse events and quality of life were compared between the two groups within 0.5 year. Results The drug compliance rate and blood pressure control rate in observation group were higher than those in control group while the incidence rate of cardiovascular adverse events was lower than that in control group(P<0.05). The quality of life scores in observation group were increased at 1 month, 3 months and 6 months of monitoring compared with before monitoring(P<0.05), and the quality of life score in observation group was higher than that in control group(P<0.05). Conclusion 24-hour ambulatory blood pressure monitoring provides a reasonable basis for clinical medication, and can effectively monitor blood pressure, helps to control blood pressure, and helps to reduce the risk of cardiovascular adverse events.

关 键 词：高血压病 动态血压 偶测血压 心血管不良事件 

分 类 号：R541.4[医药卫生—心血管疾病]