摘要
目的用动态血压监测(ABPM)的方法评估本社区原发性高血压病患者动态血压控制状况,为降压治疗提供依据。方法对2006年1月～2008年11月在我院就诊的正在进行降压药治疗并进行了动态血压监测的原发性高血压患者359例,按有无合并糖尿病分成A1组和A2组以及根据年龄分成B1组和B2组。对各组的ABPM参数进行了统计分析并进行组间对比。结果各组ABPM参数的达标率都大于60%,但是夜间平均收缩压(nSBP)、夜间血压下降率(nBPR)达标率相对较低。年龄分组各参数对比差异无统计学意义(P>0.05),而合并糖尿病组(A1)各项参数较单纯血压高组(A2)稍差,其达标率下降值具有统计学意义(P<0.05)。结论高血压患者尤其是合并糖尿病患者还需要加强对夜间血压的控制,临床需重视动态血压监测对降压治疗时间和剂量的指导作用。
Objective Using Ambulatory Blood Pressure Monitoring(AMPM) approach to evaluate current state of controlling dynamic blood pressure of essential hypertension patients in our community so as to provide reference for antihypertensive therapy.Methods From January 2006 to November 2008,359 cases of essential hypertension patients in our hospital were treated via antihypertensive drugs and monitored via AMPM.We divided these 359 cases into groups A1 and A2 according to whether they are combined with diabetes or not.We also divided these cases into groups B1 and B2 according to their age.We used statistic analysis tools to analyze ABPM parameters of each group and compare parameters among groups.Results The target rates of ABPM parameters of all groups are over 60%,while the target rates of 'nSBP' and 'nBPR' are relative low.There are no significant differences(P>0.05) between groups B1 and B2 in the sense of ABPM parameters.All parameters of group A1 are a little bit worse than that of group A2 and the decreasements of the target rates are of statistic value(P<0.05).Conclusion The control of the night-time blood pressure for hypertensive patients,especially those who combine with diabetes,should be emphasized.Doctors should pay more attention to the guidance of ABPM to the time and dose of antihypertension treatments.
出处
《健康教育与健康促进》
2009年第2期30-32,共3页
Health Education and Health Promotion
关键词
动态血压监测
原发性高血压病
糖尿病
Ambulatory blood pressure monitoring
Essential hypertension
Diabetes
