摘要
目的 探讨24 h血压动态检测仪应用于冠心病合并高血压患者中的价值。方法 选择60例冠心病合并高血压患者作为观察组,另选择同期60例单纯高血压患者作为对照组,两组均采用24 h血压动态监测仪监测24 h血压、脉压。比较两组血压情况、脉压及脉压指数。结果 观察组夜间收缩压(SBP)(143.35±12.44)mm Hg(1 mm Hg=0.133 kPa)高于对照组的(137.50±11.35)mm Hg,白昼舒张压(DBP)(78.24±11.06)mm Hg、夜间DBP(76.18±9.33)mm Hg、24 h DBP(77.43±10.46)mm Hg、白昼平均动脉压(MAP)(100.17±9.33)mm Hg、24 h MAP(99.84±8.33)mm Hg低于对照组的(85.34±10.74)、(80.42±8.96)、(84.18±9.82)、(105.64±9.86)、(103.61±8.64)mm Hg,差异均有统计学意义(P<0.05)。两组24 h SBP、白昼SBP、夜间MAP比较,差异无统计学意义(P>0.05)。观察组白昼脉压、夜间脉压、24 h脉压、白昼脉压指数、夜间脉压指数、24 h脉压指数分别为(67.30±12.40)mm Hg、(67.36±12.39)mm Hg、(67.20±11.85)mm Hg、(0.47±0.06)、(0.48±0.06)、(0.47±0.07),均高于对照组的(60.22±10.81)mm Hg、(58.64±12.73)mm Hg、(59.36±10.77)mm Hg、(0.42±0.05)、(0.41±0.05)、(0.42±0.05),差异有统计学意义(P<0.05)。结论 24 h血压动态监测仪可动态观察患者的血压及脉压,其在冠心病合并高血压病诊治中具有重要价值。
Objective To discuss the value of 24-h ambulatory blood pressure monitor in patients with coronary heart disease and hypertension.Methods A total of 60 patients with coronary heart disease and hypertension were selected as the observation group,and 60 patients with simple hypertension were selected as the control group.24 h blood pressure and pulse pressure of the two groups were monitored by 24 h ambulatory blood pressure monitor.The blood pressure,pulse pressure and pulse pressure index were compared between the two groups.Results The night systolic blood pressure(SBP)of(143.35±12.44)mm Hg(1 mm Hg=0.133 kPa)in the observation group was higher than that of(137.50±11.35)mm Hg in the control group;the observation group had daytime diastolic blood pressure(DBP)of(78.24±11.06)mm Hg,night DBP of(76.18±9.33)mm Hg,24 h DBP of(77.43±10.46)mm Hg,daytime mean arterial pressure(MAP)of(100.17±9.33)mm Hg,24 h MAP of(99.84±8.33)mm Hg,which were lower than those of(85.34±10.74),(80.42±8.96),(84.18±9.82),(105.64±9.86),(103.61±8.64)mm Hg in the control group;the differences were statistically significant(P<0.05).There was no statistically significant difference in 24 h SBP,daytime SBP and night MAP between the two groups(P>0.05).The daytime pulse pressure,night pulse pressure,24 h pulse pressure,daytime pulse pressure index,night pulse pressure index and 24 h pulse pressure index were(67.30±12.40)mm Hg,(67.36±12.39)mm Hg,(67.20±11.85)mm Hg,(0.47±0.06),(0.48±0.06)and(0.47±0.07)in the observation group,which were higher than those of(60.22±10.81)mm Hg,(58.64±12.73)mm Hg,(59.36±10.77)mm Hg,(0.42±0.05),(0.41±0.05)and(0.42±0.05)in the control group,and the differences were statistically significant(P<0.05).Conclusion 24-h ambulatory blood pressure monitor can dynamically observe the blood pressure and pulse pressure of patients,and is of great value in the treatment of coronary heart disease complicated with hypertension.
作者
王亮
WANG Liang(Yantai Beihai Hospital,Yantai 265701,China)
出处
《中国实用医药》
2023年第12期43-45,共3页
China Practical Medicine
关键词
高血压
冠心病
脉压
血压
24
h血压动态监测仪
Hypertension
Coronary heart disease
Pulse pressure
Blood pressure
24-h ambulatory blood pressure monitor
