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用动态血压监测评价高血压病的治疗现状
引用本文:茅嗣良. 用动态血压监测评价高血压病的治疗现状[J]. 健康教育与健康促进, 2009, 0(2)
作者姓名:茅嗣良
作者单位:上海市江宁社区卫生服务中心;
摘    要:目的用动态血压监测(ABPM)的方法评估本社区原发性高血压病患者动态血压控制状况,为降压治疗提供依据。方法对2006年1月~2008年11月在我院就诊的正在进行降压药治疗并进行了动态血压监测的原发性高血压患者359例,按有无合并糖尿病分成A1组和A2组以及根据年龄分成B1组和B2组。对各组的ABPM参数进行了统计分析并进行组间对比。结果各组ABPM参数的达标率都大于60%,但是夜间平均收缩压(nSBP)、夜间血压下降率(nBPR)达标率相对较低。年龄分组各参数对比差异无统计学意义(P>0.05),而合并糖尿病组(A1)各项参数较单纯血压高组(A2)稍差,其达标率下降值具有统计学意义(P<0.05)。结论高血压患者尤其是合并糖尿病患者还需要加强对夜间血压的控制,临床需重视动态血压监测对降压治疗时间和剂量的指导作用。

关 键 词:动态血压监测  原发性高血压病  糖尿病  

Using ABPM to Evaluate the Current State of the Treatment of Hypertension
Mao Si-liang.Jiang Ning Community Health Service Center,Shanghai,,China. Using ABPM to Evaluate the Current State of the Treatment of Hypertension[J]. Health Education and Health Promotion, 2009, 0(2)
Authors:Mao Si-liang.Jiang Ning Community Health Service Center  Shanghai    China
Affiliation:Mao Si-liang.Jiang Ning Community Health Service Center,Shanghai,200040,China
Abstract:Objective Using Ambulatory Blood Pressure Monitoring(AMPM) approach to evaluate current state of controlling dynamic blood pressure of essential hypertension patients in our community so as to provide reference for antihypertensive therapy.Methods From January 2006 to November 2008,359 cases of essential hypertension patients in our hospital were treated via antihypertensive drugs and monitored via AMPM.We divided these 359 cases into groups A1 and A2 according to whether they are combined with diabetes or ...
Keywords:Ambulatory blood pressure monitoring  Essential hypertension  Diabetes  
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