夜间高血压临床治疗意义  

The clinical ther apeutic significance of nocturnal hypertension

作　　者：郑甜甜 左权 陈志君 杨旭东 杨雪骅 方定一 卢小华 ZHENG Tiantian;ZUO Quan;CHEN Zhijun;YANG Xudong;YANG Xuehua;FANG Dingyi;LU Xiaohua(Department of Cardiovasular Medicine,Shanghai Metallurgical Hospital,Shanghai,201900,China)

机构地区：[1]上海中冶医院心血管内科,上海201900

出　　处：《当代医学》2023年第34期186-190,共5页Contemporary Medicine

摘　　要：高血压诊疗指南建议早期、全天、严格的血压监控,以避免心血管及靶器官损伤。通过动态血压检测仪可发现昼夜血压节律变化规律,评价降压药物疗效。尽管夜间高血压(NH)具有重要的临床意义,但在高血压治疗中易被忽视。最新研究证实,与日间血压监测比较,夜间血压波动模式在预测心血管疾病中临床价值更高,夜间血压监测将成为高血压治疗的新靶点。本文通过对NH的定义、病理生理学、临床意义和治疗进展进行综述,以期改善高血压患者的预后。Guideline for the diagnosis and treatment of hypertension recommend early,all-day and strict blood pressure monitoring to avoid cardiovascular and target organ damage.Through ambulatory blood pressure monitor,the circadian rhythm of blood pressure can be found to evaluation of antihypertensive drugs.Although nocturnal hypertension(NH)has important clinical significance,it is easy to be neglected in the treatment of hy-pertension.The latest research confirmed that compared with daytime blood pressure monitoring,nighttime blood pressure fluctuation patterns have higher clinical value in predicting cardiovascular diseases,and nighttime blood pressure monitoring will become a new target for hypertension treat-ment.This article reviews the definition,pathophysiology,clinical significance and treatment progress of nocturnal hypertension in order to improve the prognosis of hypertensive patients.

关 键 词：夜间高血压 血压节律 治疗 时间疗法 

分 类 号：R544.1[医药卫生—心血管疾病]