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24小时动态血压监测(ABPM)是让受检者佩带动态血压记录仪,回到日常生活环境中自由行动,记录仪会自动按设置时间间隔进行血压测量,提供24小时期间多达数十次到上百次的血压测量数据,为患者提供全天血压波动水平和趋势信息,以捕捉偶尔测血压所不能检测到的血压信息,有助于判断病人是否需要药物治疗。我院所使用的24小时动态血压记录仪是美国太空实验室(Spacelabs)公司生产的90217型24小时动态血压记录仪,在日常的使用及维护过程中,经常出现下列故障及其解决方法。 相似文献
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动态血压监测技术 总被引:2,自引:0,他引:2
张臣舜 《现代医学仪器与应用》1996,8(4):21-22
动态血压监测技术对了解患者的血压的平均水平优于常规的测量方法.动态血压记录装置有袖带式和指套式两种,指套式优于袖带式,但目前国内临床上常用的是袖带式装置.本文以袖带式为例,分析了血压的测量原理,袖带的大小、病人的体位、测量的频率、病人的活动对测量结果的影响,以及测量结果的重复性的好坏. 相似文献
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陈国伟 《现代医学仪器与应用》1995,7(4):12-13
<正>无创性动态血压监测(ambulatory bloodpressure monitoring,ABPM)的应用已有30多年历史,但该项技术近年来才获得较大的发展,已广泛应用于临床和高血压防治工作中,使人们对血压及其波动规律的认识提高到一个新水平.ABPM通常采用上臂袖带间断性自动充气间接测压,根据压力示波法或柯氏音听诊法原理拾取信号并记录贮存,也有根据脉搏波传导速度利用理论或经验公式推算手指 相似文献
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JIANG Ji-wen 《保健医学研究与实践》2008,(3)
动态血压监测是一种无创性的血压监测,可获取24 h平均血压、血压昼夜变化节律以及血压变异性等多种重要指标参数,能反映患者全天的血压波动水平和趋势,与偶测血压相比具有明显的优越性。在高血压病诊断、评估高血压靶器官损害和指导、评价降压治疗等方面具有重要作用。 相似文献
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动态血压监测的临床应用进展 总被引:2,自引:0,他引:2
蒋纪文 《保健医学研究与实践》2008,5(3):80-83
动态血压监测是一种无创性的血压监测,可获取24h平均血压、血压昼夜变化节律以及血压变异性等多种重要指标参数,能反映患者全天的血压波动水平和趋势,与偶测血压相比具有明显的优越性。在高血压病诊断、评估高血压靶器官损害和指导、评价降压治疗等方面具有重要作用。 相似文献
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高血压与各种心血管疾病的发生密切相关,准确真实血压测量不仅有利于高血压病的控制,更能减少各种心血管疾病发生的几率。24h动态血压较传统的偶测血压更能准确地反映病人血压一天中的波动。本文主要对近年来24h动态血压监测的研究进展进行综述。 相似文献
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24小时动态血压监测 (简称ABPM)技术能揭示血压的总体高度、波动状况和昼夜变化。本文通过 6 0例原发性高血压老年患者 (诊室高血压 )ABPM的资料分析 ,旨在了解其血压水平 ,昼夜节律及其动态变化与高血压靶器官的相关性 ,并为设计较理想的治疗方案提供依据。1 资料与方法6 0例老年患者均为内蒙古医院干部保健所住院病人 ,年龄 6 0~ 89岁 ,平均年龄 70 8.5岁。其中男 38例 ,女 2 2例。所有患者均停服降压药 1W以上。ABPM采用无创携带式动态血压监测仪 (德国MOBIL) ,2 2cm× 12cm袖带 (臂围 2 4~ 32cm)。缚于受试… 相似文献
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目的探讨药物治疗对老年高血压病患者的疗效及24h血压昼夜变化、血压变异性的影响。方法将168例高血压病患者分为单纯收缩压增高(SH)和收缩压及舒张压均增高(DH)两组,治疗药物分为长效和短效,在治疗开始和治疗2个月后做24h动态血压监测;同时对两组患者的24h动态血压波动曲线的变化进行总结,结合临床资料进行统计学分析。结果DH组患者与SH组比较,24h血压波动曲线的昼夜节律变化、靶器官损害发生率差异有统计学意义(P〈0.01),血压负荷、血压变异性差异有统计学意义(P〈0.05);DH组应用长、短效药物治疗,血压控制均不理想;SH组患者经过长效药物治疗,夜间的平均收缩压、舒张压和平均动脉压均比短效药物治疗组低(P〈0.05),24h血压变化曲线大部分可以恢复昼夜节律,血压负荷明显减少,心脑血管并发症少见。结论应用动态血压监测有助于了解老年高血压患者24h血压波动曲线的变化规律,对指导患者临床治疗和判断预后有着十分重要的意义。 相似文献
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【目的】探讨超重[体质指数(body mass index,BMI)≥24]对青少年动态血压(ambulatory blood pressure,ABP)的影响。【方法】应用TM-2421 ABP监测仪(A&D,日本)记录24 h ABP,252例青少年按年龄、性别、身高配比原则分为两组(每组女49例,男77例):对照组平均(13.68±1.21)岁,身高(165.37±9.45)cm,BMI(18.82±2.3);超重组(13.71±1.23)岁,身高(165.75±9.47)cm,BMI(27.70±3.1)。ABP数据录入数据库并采用余弦法和常规统计方法分析处理ABP数据。【结果】青少年ABP昼夜变化呈勺形,大多数儿童有明显的ABP近日节律性。超重组的ABP节律性参数(调整中值、峰值、谷值、振幅等)和多数ABP参数(SBP、DBP、PP、MAP均值,BP变异性,BP负荷和心率血压乘积等)均较对照组有显著性升高。【结论】超重对青少年ABP有明显影响作用。 相似文献
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目的探讨踝肱指数(Ankle brachial pressure index,ABI)及动态血压节律(ambulatory blood pressure rhythm,ABPR)与颈动脉内-中膜厚度(carotid intima-medial thickness,IMT)的关系。方法入选的92名2型糖尿病合并高血压患者测量ABI,动态血压监测并计算昼夜血压节律,测量颈动脉IMT,进行详细病史采集,检测生化指标,记录研究对象的年龄、身高、体重等。根据动态血压节律将入选患者分成2组:即杓形组与非杓形组,进行各检测指标参数比较。以颈动脉IMT为因变量,将年龄、ABI、体重指数(BMI)、尿微量白蛋白、血清生化指标、病史为自变量作多元逐步回归分析。分别比较血压节律、ABI单项异常,二者异常及二者正常时颈动脉IMT增厚的检出率。结果杓型血压与非杓型血压组各参数比较,ABI低于杓型组,差异有统计学意义,颈动脉IMT与各影响因素进行多、元逐步回归分析,进入回归方程的因素有ABI;血压节律、ABI单项异常较二项联合检查时颈动脉IMT增厚的阳性率低。结论血压节律的异常可以造成血管壁损伤;联合观察ABI和动态血压节律的变化较单独测量对大血管病变有更好的预见性。 相似文献
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目的研究妊娠高血压综合征(妊高征)患者动态血压的变化。方法对116例妊高征患者进行24 h动态血压监测(ABPM)。结果重度妊高征患者24 h平均血压和日、夜平均血压均明显高于轻、中度妊高征患者(P<0.05);中、重度妊高征患者非杓型改变比轻度妊高征患者明显增多(P<0.01)。重度妊高征24 h尿蛋白定量、生后1 m in Apgar评分<8分者比轻、中度妊高征明显增多(P<0.05)。结论轻度妊高征大部分有昼夜节律变化(呈杓型),治疗不必用药,以休息为主;中、重度妊高征患者昼夜节律变化不明显(呈非杓型),夜间抗高血压药物治疗应足量。ABPM对妊高征患者的诊断分度及制订个体化治疗有积极的指导意义。 相似文献
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目的探讨老年高血压脑梗死24h动态血压的临床分析方法将2012年10)~--2013年10月我院收治的老年高血压病人分为高血压并发症梗死患者和非并发脑梗死病人两个组别,并分别对两组病人的动态血压进行测量,比较两组病人的脉压和血压。结果两组患者的动态血压相比差异具有统计学意义(P〈0.05)。结论脑梗死病人的ABPP增加非常的明显,对老年高血压病人的脉压进行监测,可以更好的对老年高血压病人的疾病的状态以及预后进行更加准确的判断。 相似文献
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Objectives We investigated the association between the fall of nocturnal blood pressure (BP) and cognitive impairment in elderly subjects.
Methods The study was a cross-sectional survey of 204 elderly subjects who had no cerebrovasucular episodes. Ambulatory BP monitoring
and assessments of cognitive functions using the Mini-Mental State Examination (MMSE) were performed at the subjects’ homes.
We classified, the subjects treated with antihypertensive drugs into three groups: non-dippers (nocturnal fall<10% of the
mean day diastolic BP; n=51), normal dippers (10% to less than 20%; n=58), and extreme dippers (20% or more; n=17). The subjects
not treated with antihypertensive drugs were also classified as non-dippers (n=40), normal dippers (n=24), and extreme dippers
(n=14).
Results The mean age of participants was 75.2±7.2 years, and 126 (61.7%) were being treated with antihypertensive drugs. In the group
of antihypertensive drug users, the number with MMSE≤23 was 30 and the adjusted odds ratio for cognitive impairment in those
with an extreme dip in diastolic BP (DBP) was 4.18 (95% CI, 1.07–16.40) in reference to the normal dippers. In contrast, no
association was observed between cognitive function and nocturnal BP fall in the group no using antihypertensive drugs.
Conclusions Cognitive impairment was associated with an extreme dip in DBP in the antihypertensive drug users only. It remains to be seen
whether careful monitoring of nighttime BP as well as daytime BP may reduce the risk of cognitive impairment in antihypertensive
drug users. 相似文献
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目的研究非杓型正常高值血压与睡眠障碍的相关性。方法对103例某院体检的正常高值血压人员进行24 h动态血压监测和应用匹兹堡睡眠质量指数(PSQI)量表对睡眠质量评定。结果非杓型组46例和杓型组57例正常高值血压,非杓型组24h平均收缩压(SBP)(123.0±7.0)mm Hg(1mm Hg=0.133 kPa)、夜间平均收缩压(119.4±8.1)mm Hg、夜间平均舒张压(67.2±7.5)mm Hg较杓型组[(120.0±6.4)mm Hg,(108.3±8.2)mm Hg,(64.5±5.7)mm Hg]高,差异有统计学意义(P〈0.05)。非杓型收缩压夜间下降率(SBPF)分值(6.1±1.2)mm Hg较杓型(10.1±2.1)mm Hg低,差异有统计学意义(P〈0.05);非杓型组PSQI评分较杓型高,差异有统计学意义[(6.8±2.5)分,(5.8±2.4)分,t=-2.062,P〈0.05];PSQI总分与SBPF呈负相关(r=-0.259,P=0.008),睡眠障碍是影响非杓型的独立危险因素(OR=1.225,P=0.044)。结论睡眠障碍是非杓型高值血压的危险因素。 相似文献
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Staessen JA O'Brien ET Thijs L Fagard RH 《Occupational and environmental medicine》2000,57(8):510-520
BACKGROUND—Blood pressure (BP) is usually measured by conventional sphygmomanometry. Although apparently simple, this procedure is fraught with many potential sources of error. This review focuses on two alternative techniques of BP measurement: ambulatory monitoring and self measurement.
REVIEW—BP values obtained by ambulatory monitoring or self measurement are characterised by high reproducibility, are not subject to digit preference or observer bias, and minimise the transient rise of the blood pressure in response to the surroundings of the clinic or the presence of the observer, the so called white coat effect. For ambulatory monitoring, the upper limits of systolic/diastolic normotension in adults include 130/80 mm Hg for the 24 hour BP and 135/85 and 120/70 mm Hg for the daytime BP and night time BP, respectively. For the the self measured BP these thresholds include 135/85 mm Hg. Automated BP measurement is most useful to identify patients with white coat hypertension. Whether or not white coat hypertension predisposes to sustained hypertension remains debated. However, outcome is better correlated with the ambulatory BP than with the conventional BP. In patients with white coat hypertension, antihypertensive drugs lower the BP in the clinic, but not the ambulatory BP, and also do not improve prognosis. Ambulatory BP monitoring is also better than conventional BP measurement in assessing the effects of treatment. Ambulatory BP monitoring is necessary to diagnose nocturnal hypertension and is especially indicated in patients with borderline hypertension, elderly patients, pregnant women, patients with treatment resistant hypertension, and also in patients with symptoms suggestive of hypotension.
CONCLUSIONS—The newer techniques of BP measurement are now well established in clinical research, for diagnosis in clinical practice, and will increasingly make their appearance in occupational and environmental medicine.
Keywords: ambulatory blood pressure; self measurement; white coat hypertension 相似文献
REVIEW—BP values obtained by ambulatory monitoring or self measurement are characterised by high reproducibility, are not subject to digit preference or observer bias, and minimise the transient rise of the blood pressure in response to the surroundings of the clinic or the presence of the observer, the so called white coat effect. For ambulatory monitoring, the upper limits of systolic/diastolic normotension in adults include 130/80 mm Hg for the 24 hour BP and 135/85 and 120/70 mm Hg for the daytime BP and night time BP, respectively. For the the self measured BP these thresholds include 135/85 mm Hg. Automated BP measurement is most useful to identify patients with white coat hypertension. Whether or not white coat hypertension predisposes to sustained hypertension remains debated. However, outcome is better correlated with the ambulatory BP than with the conventional BP. In patients with white coat hypertension, antihypertensive drugs lower the BP in the clinic, but not the ambulatory BP, and also do not improve prognosis. Ambulatory BP monitoring is also better than conventional BP measurement in assessing the effects of treatment. Ambulatory BP monitoring is necessary to diagnose nocturnal hypertension and is especially indicated in patients with borderline hypertension, elderly patients, pregnant women, patients with treatment resistant hypertension, and also in patients with symptoms suggestive of hypotension.
CONCLUSIONS—The newer techniques of BP measurement are now well established in clinical research, for diagnosis in clinical practice, and will increasingly make their appearance in occupational and environmental medicine.
Keywords: ambulatory blood pressure; self measurement; white coat hypertension 相似文献