妊娠期高血压疾病动态血压监测的应用分析

目的:探讨妊娠期高血压疾病的动态血压监测变化。方法:选取山东省聊城市东昌府区妇幼保健院350例孕妇,进行24 h动态血压监测,跟踪观察其妊娠期血压变化。结果:69例为高血压疾病组A组,281例为对照B组,A组与B组比较,A组的24 h平均收缩压、夜间血压及血压昼夜节律异常率等指标明显高于B组,均有统计学意义(P<0.01)。A组心电图异常(室性早搏、房性早搏、窦性心动过速、ST-T改变)较B组突出,均有统计学意义(P<0.01)。结论:妊娠期,利用动态血压监测24 h平均舒张压和平均动脉压可很好地监测妊娠期高血压疾病。

Application and analysis of ambulatory blood pressure monitoring for the patients with hypertensive disorder complicating pregnancy

Objective:To explore the changes of ambulatory blood pressure monitoring for the patients with hypertensive disorder complicating pregnancy(HDCP).Methods:A total of 350 pregnant women were selected from the hospital,then they underwent 24-hour ambulatory blood pressure monitoring,the changes of blood pressure were followed up and observed.Results:Sixty-nine cases with HDCP were selected as HDCP group(A group),and 281 normotensive cases were selected as control group(B group).The 24-hour mean systolic blood pressure,nighttime blood pressure,and the incidence of abnormal circadian rhythm of blood pressure in A group were significantly higher than those in B group(P<0.01).The incidences of abnormal electrocardiogram(ventricular premature beat,atrial premature beat,sinus tachycardia,ST-T change) in A group were significantly higher than those in B group(P<0.01).Conclusion:Monitoring 24-hour mean diastolic blood pressure and mean arterial pressure dynamically during pregnancy can monitor HDCP effectively.