动态血压监测在诊室血压正常曾有血压升高史者中的应用研究

目的 对诊室血压正常者进行动态血压监测,调查曾有血压升高病史者高血压的患病率,分析高血压的相关因素.方法 对门诊就诊的232例曾有1次诊室血压升高病史而本次就诊时诊室血压正常的未行抗高血压药物治疗的成人,进行动态血压监测及生化检查.分析年龄、性别、吸烟、饮酒、高血压家族史、血压水平、体质指数、心率、血清肌酐、空腹血糖、血脂及尿酸与高血压的关系.结果 曾有血压升高病史诊室血压正常者中高血压的患病率为48.3%,男性患病率为58.3%,高于女性的41.2%(x2=6.634,P=0.010).正常血压组和正常高值血压组的高血压患病率分别为20.0%和50.9%,组间差异有统计学意义(x2=7.008,P=0.008);随着血压水平升高,高血压的患病率有增加趋势(x2趋势=6.978,P=0.008).多元Logistic回归分析发现,吸烟、平均偶测舒张压、心率、血清肌酐和空腹血糖水平是高血压的影响因素.结论 曾有血压升高病史本次诊室血压正常患者的患病率为48.3%,男性多发,随着偶测血压级别升高高血压的患病率有增加趋势,吸烟、心率、舒张压、血清肌酐和空腹血糖水平与高血压发生相关.

Application of Ambulatory Blood Pressure Monitornings in Clinically Normotensive Patients with Hypertension History

Objective To investigate the prevalence of hypertension(HT)among subjects with transient clinic blood pressure elevation and to explore the related factors of HT.Methods Ambulatory blood pressure monitorings(ABPM) and serum biochemical assays were carried out in 232 untreated clinically normotensive(NT) adults with transient hypertension history.Associations between HT and age,gender,smoking,alcohol drinking,family history of hypertension,blood pressure levels,body mass index,heart rate,serum creatinine,fas...