24 h动态血压监测与家庭血压自测在原发性高血压诊治中的应用效果对比

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of 24 h dynamic blood pressure monitoring and home blood pressure self-measurement in the diagnosis and treatment of primary hypertension.Methods From January 2016 to March 2017,240 cases of patients with essential hypertension(EH)of cardiovascular internal medicine were adopted as the research object,and divided into normal group(120 cases)and the experimental group(120 cases)according to the envelope randomized method.The normal group routines used 24 h arterial blood pressure monitoring,and the experimental group routines used home blood pressure self-test training on basis the normal group.The blood pressure and blood pressure variability were compared between the two groups.Results After intervention,the experimental group′s blood pressure level was lower than before,the difference was statistically significant(P<0.05).After the intervention,the blood pressure level of the experimental group was lower than the normal group,the difference was statistically significant(P<0.05).The experimental group′s 24 h SBP after the intervention was (128.52±7.45)mmHg,lower than(137.56±7.96)mmHg in the conventional group after the intervention,the difference was statistically significant(P<0.05).There was no statistically significant difference in 24 h DBP after intervention between the two groups(P>0.05).Conclusion For the patients with primary hypertension,to adopt 24 h ambulatory blood pressure monitoring+home blood pressure self-test training is easy to monitor blood pressure at home,effective to control blood pressure and to improve blood pressure variability.Which is worthy adopting.

Key words： Essential hypertension Home blood pressure self-test 24 h dynamic blood pressure

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Song-quan

Cite this article:

MA Song-quan. Comparison of the effect of 24-hour ambulatory blood pressure monitoring and home blood pressure self-test in diagnosis and treatment of primary hypertension[J]. 中国当代医药, 2018, 25(22): 73-75.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I22/73

[1]	祁莉萍.对2013年欧洲高血压指南中血压监测的解读[J].中华老年心脑血管病杂志，2015，17（5）：559-560.
[2]	康健，赵兴山，丁幼楠，等.血压变异性对老年女性高血压患者颈动脉硬化的影响[J].中华老年心脑血管病杂志，2015，17（2）：200-202.
[3]	纪田田，魏芳，王娟，等.老年隐匿性高血压及白大衣性高血压对血管弹性及内皮功能的影响[J].中华老年心脑血管病杂志，2018，20（1）：4-7.
[4]	何元，董小英，廖建辉，等.远程血压监测和在线健康指导预测清晨高血压患者心血管病风险的临床研究[J].中华老年心脑血管病杂志，2018，20（1）：12-15.
[5]	曹平良，程晓曙，李年娥，等.氨氯地平和贝那普利对老年高血压患者清晨血压季节性变异的对比研究[J].中华老年心脑血管病杂志，2016，18（12）：1251-1254.
[6]	冯国飞，袁慧，谢志泉，等.老年高血压患者家庭血压监测情况调查研究[J].中华老年心脑血管病杂志，2017，19（6）：584-587.
[7]	乔智力，庄如意，李永惠，等.睡前服用坎地沙坦对高血压患者血压晨峰及尿微量白蛋白的影响[J].中华老年心脑血管病杂志，2015，17（5）：492-494.
[8]	刘骏，杜瑞雪，王亮，等.高血压患者血压变异性临床研究进展[J].中华老年心脑血管病杂志，2017，19（10）：1103-1105.
[9]	马世兴，赵慧，王玉，等.慢性肾脏病合并高血压患者夜间血压控制状况及危险因素分析[J].中华肾脏病杂志，2015，31（5）：327-332.
[10]	王海军，司全金，李开亮，等.老年原发性高血压患者血压变异性对新发心房颤动的影响[J].中华老年心脑血管病杂志，2017，19（3）：228-231.
[11]	秦琳，潘晓帆.首次腔隙性脑梗死患者扩张的血管周围间隙与动态血压变异性分析[J].中华老年心脑血管病杂志，2016，18（9）：948-952.
[12]	刘时武，王喜玉，马建林，等.H型高血压患者血小板活性的临床研究[J].中华老年心脑血管病杂志，2015，17（2）：118-120.
[13]	罗富健，张丁丁，张云，等.高血压患者动态脉压及脉压指数与冠心病的关系[J].中国循环杂志，2017，32（5）：447-451.
[14]	杨小燕，张永超，龙芙蓉，等.重庆市杨家坪地区高血压患者对家庭血压监测的认知和行为现状调查分析[J].解放军预防医学杂志，2017，35（8）：905-907，911.
[15]	姜贵贤，邢莎莎，马燕，等.新诊断的老年高血压患者动态血压节律及晨峰与肾功能损害的关系[J].中华老年心脑血管病杂志，2015，17（2）：115-117.
[16]	Tomaschitz A，Piecha G，Ritz E，et al.Marinobufa genin in essential hypertension and primary aldosteronism：a cardiotonic steroid with clinical and diagnostic implications[J].Clin Exp Hypertens，2015，37（2）：108-115.