摘要
目的探索飞行人员早期高血压病诊治更全面的评价方法,为飞行人员早期高血压病诊治及医学鉴定提供依据。方法 32例男性诊室血压(OBP)1级高血压飞行人员,根据动态血压监测(ABPM)24 h血压均值将其分为2组:ABPM高血压组和白大衣高血压组(WCH组),分析其ABPM参数,同期纳入30名健康男性飞行人员作为对照组。结果ABPM高血压组17例,占OBP高血压总数的53.13%。WCH组15例,占OBP高血压总数的46.88%。夜间收缩压下降率(n SBPF)、夜间舒张压下降率(n DBPF)3组差异无显著性。24 h收缩压负荷(24 h SBPL)、24 h舒张压负荷(24 h DBPL)3组均有显著差异。结论 ABPM高血压组和WCH组血压仍保持正常的昼夜节律。24 h SBPL、24 h DBPL是区分3组的较敏感指标。ABPM能更客观地评价飞行人员早期高血压病的病情,可作为飞行人员早期高血压病诊治和医学鉴定的重要参考指标。
Objective To investigate the application of ambulatory blood pressure monitoring（ABPM） in medical evalua- tion of aircrew with early hypertension. Methods According to 24 hour mean value of ambulatory blood pressure, 32 aircrews with office hypertension were divided into ABPM hypertension group and white coat hypertension （WCH） group, 30 healthy men pilots were for the control group. Results A total of 17 cases （53.13%） were diagnosed with grade 1 hypertension by ABPM, and 15 cases（46.88% ） were diagnosed as white coat hypertension. Night systolic blood pressure fall rate （nSBPF） and night diastolic blood pressure fall rate （nDBPF） were similar in three groups. 24 h systolic blood pressure load （24hSBPL） and 24h diastolic blood pressure load （24hDBPL） were statistically significant differences among the three groups. Conclusion Blood pressure in ABPM hypertension group and WCH group still maintain normal eireadian rhythm. 24hSBPL and 24hDBPL are much more sensitive indexes to classify the three groups. ABPM ean be used as the important reference index of early diagnosis, treatment and medical evaluation on airerew with hypertension.
出处
《解放军预防医学杂志》
CAS
2016年第3期354-356,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
关键词
飞行人员
高血压病
动态血压
医学鉴定
aircrew
hypertension
ambulatory blood pressure monitoring
medical evaluation
