动态高血压监测在难治性高血压中指导意义.docVIP

动态高血压监测在难治性高血压中指导意义 　　【摘要】 目的：研究并分析动态高血压监测在难治性高血压中的指导意义和应用价值。方法：选取2015年1月-2017年1月笔者所在医院收治的难治性高血压患者112例，将患者随机分为试验组和对照组，每组56例患者，试验组采用24 h动态血压监测仪进行监测，对照组采用常规血压监测，对比两组患者日间、夜间、24 h的舒张压、收缩压均值情况。结果：对比两组的日间、夜间、24 h的舒张压、收缩压均值，试验组都低于对照组，差异有统计学意义（P0.05）。难治性高血压患者以非杓型为主，试验组非杓型患者的人数显著多于对照组，差异有统计学意义（P0.05）；试验组左室肥厚检出率明显高于对照组（P0.05）；LVMI与动态血压指标之间存在相关性，但与常规血压监测之间不存在明显的相关性。结论：24 h动态血压用于监测难治性高血压，更能反映出患者的实际血压情况，在临床诊断和治疗难治性高血压中有重要意义，值得临床推广和应用。 　　【关键词】 动态血压； 难治性高血压； 杓型血压 　　doi：10.14033/j.cnki.cfmr.2018.2.008 文献标识码 B 文章编号 1674-6805（2018）02-0016-03 　　【Abstract】 Objective：To study the ambulatory blood pressure monitoring in patients with refractory hypertension.Method：From January 2015 to January 2017 in our hospital，112 cases with refractory hypertension were randomly divided into the experimental group and the control group，56 cases in each group， the experimental group using 24 hour ambulatory blood pressure monitor，the control group using conventional blood pressure monitoring， compared two groups of patients with day and night，24 hours of relaxation the systolic pressure，mean pressure.Result：The mean of diastolic pressure and systolic pressure of day，night and 24 h in the experimental group were lower than that of the control group，and the difference was statistically significant（P0.05）.Patients with refractory hypertension were mainly non dipper type，and the number of non dipper patients in the experimental group was significantly more than that of the control group，the difference was statistically significant（P0.05） The detection rate of left ventricular hypertrophy in the experimental group was significantly higher than that in the control group（P0.05）.There was a direct correlation between LVMI and ambulatory blood pressure，but there was no significant correlation with routine blood pressure monitoring.Conclusion：24 hours ambulatory blood pressure monitoring for the treatment of refractory hypertension，can reflect the actual blood pressure of patients，in clinical diagnosis and