动态血压监测对高血压患者的管理及效果评价  

The management and effect evaluation of ambulatory blood pressure monitoring for hypertensive patients

作　　者：郑容容 王小易 ZHENG Rong-rong;WANG Xiao-yi(Department of Cardiology,Second Affiliated Hospital of Xiamen Medical College,Xiamen 361000,China)

机构地区：[1]厦门医学院附属第二医院心功能科,361000

出　　处：《中国现代药物应用》2024年第8期60-63,共4页Chinese Journal of Modern Drug Application

摘　　要：目的对动态血压监测(ABPM)对高血压患者的管理及效果进行评价。方法200例高血压患者,电脑随机分为对照组和观察组,每组100例。对照组采取偶测血压(CBP)监测肱动脉血压,观察组使用24 h动态血压监测,两组根据血压监测情况进行降压药物治疗。比较两组患者治疗前后血压、满意度以及观察组中低龄组和高龄组的动态血压参数。结果治疗后,观察组患者收缩压(112.13±7.56)mm Hg(1 mm Hg=0.133 kPa)、舒张压(80.92±7.45)mm Hg均明显低于对照组的(121.77±7.87)、(88.02±8.99)mm Hg(P<0.05)。观察组患者总满意度95.00%显著高于对照组的80.00%(P<0.05)。低龄组收缩压的日间均压、夜间均压、24 h均压分别为(114±12)、(101±10)、(106±11)mm Hg,舒张压的日间均压、夜间均压、24 h均压分别为(88±8)、(86±7)、(87±10)mm Hg;高龄组收缩压的日间均压、夜间均压、24 h均压分别为(120±10)、(108±12)、(114±12)mm Hg,舒张压的日间均压、夜间均压、24 h均压分别为(80±7)、(77±5)、(79±5)mm Hg。低龄组收缩压的日间均压、夜间均压、24 h均压低于高龄组,舒张压的日间均压、夜间均压、24 h均压高于高龄组(P<0.05)。结论高血压患者采取动态血压监测对于改善患者的血压水平,增加满意度具有显著的价值。Objective To evaluate the management and effect of ambulatory blood pressure monitoring(ABPM)on hypertensive patients.Methods 200 hypertensive patients were randomly divided into a control group and an observation group,with 100 patients in each group.The control group received casual blood pressure(CBP)for brachial artery blood pressure monitoring,while the observation group received 24-h ambulatory blood pressure monitoring.Both groups were treated with antihypertensive medication based on blood pressure monitoring.Comparison was made on blood pressure before and after treatment,patient satisfaction,as well as ambulatory blood pressure parameters between the younger group and the older group in the observation group.Results After treatment,the observation group had systolic blood pressure of(112.13±7.56)mm Hg(1 mm Hg=0.133 kPa)and diastolic blood pressure of(80.92±7.45)mm Hg,which were significantly lower than(121.77±7.87)and(88.02±8.99)mm Hg in the control group(P<0.05).The total satisfaction in the observation group was 95.00%,which was significantly higher than 80.00%in the control group(P<0.05).In the younger group,the daytime,nighttime,and 24-h systolic blood pressure were(114±12),(101±10),and(106±11)mm Hg,while the daytime,nighttime,and 24-h diastolic blood pressure were(88±8),(86±7),and(87±10)mm Hg.In the older group,the daytime,nighttime,and 24-h systolic blood pressure were(120±10),(108±12),and(144±12)mm Hg,while the daytime,nighttime,and 24-h diastolic blood pressure were(80±7),(71±5),and(79±5)mm Hg.The daytime,nighttime,and 24-h systolic blood pressure of the younger group were lower than those of older group,and the daytime,nighttime,and 24-h diastolic blood pressure were higher better than those of the older group(P<0.05).Conclusion Ambulatory blood pressure monitoring for hypertensive patients has significant value in improving their blood pressure levels and increasing satisfaction.

关 键 词：动态血压监测 高血压 诊断 收缩压 舒张压 监测方法 

分 类 号：R544.1[医药卫生—心血管疾病]