偶测血压与24 h动态血压监测对妊娠期高血压疾病诊断价值比较

目的:探讨偶测血压与24 h动态血压监测在妊娠期高血压疾病诊断中的应用价值.方法:选择在产科门诊新诊断的妊娠期高血压患者120例,分为初产妇组90例和经产妇组30例,进行偶测血压和24 h动态血压监测,将其监测结果进行对比分析.结果:2组孕妇偶测血压中的舒张压(DBP)差异无统计学意义(P>0.05),而经产妇组偶测血压的收缩压(SBP)及24 h动态血压均高于初产妇组(P<0.05~P<0.01);偶测血压对妊娠期高血压疾病诊断率为100.0%,明显高于24 h动态血压的诊断率25.0%(P<0.01);初产妇组采用24 h动态血压监测诊断妊娠期高血压疾病检出率为12.22%,明显低于经产妇组的63.33%(P<0.01).结论:24 h动态血压监测能连续记录24 h血压的变化情况,与偶测血压相比,能更方便更真实地反映全天血压水平,在妊娠期高血压疾病的诊断及筛查中具有优越性.

Application value comparison of casual blood pressure and 24-hour ambulatory blood pressure monitoring in the diagnosis of pregnancy-induced hypertension disease

Objective:To explore the application value of casual blood pressure and 24-hour ambulatory blood pressure monitoring in the diagnosis of pregnancy-induced hypertension disease. Methods:One hundred and twenty patients with pregnancy-induced hypertension were divided into the primipara group(90 cases) and multipara group(30 cases). The casual blood pressure and 24-hour ambulatory blood pressure monitoring in two groups were implemented,and the results of which were analyzed. Results:The difference of diastolic blood pressure(DBP) between two groups was not statistically significant(P>0. 05). The DBP of the casual blood pressure and 24-hour ambulatory blood pressure in primipara group were higher than those in multipara group(P<0. 05 to P <0. 01). The diagnosis rate of pregnancy-induced hypertension disease of casual blood pressure(100. 0%) was significantly higher than that of 24-hour ambulatory blood pressure(25. 0%)(P <0. 01). The detection rate of pregnancy-induced hypertension disease of 24-hour ambulatory blood pressure in primipara group(12. 22%) was significantly lower than that in multipara group(63. 33%)(P<0. 01). Conclusions:Compared with the casual blood pressure,the 24-hour ambulatory blood pressure monitoring can continuously record the change of 24h blood pressure,which is convenient,can really reflect the blood pressure levels of the whole day,and has some advantages in the diagnosis and screening of pregnancy-induced hypertension disease.