动态血压监测在原发性高血压患者护理中的应用研究

目的探讨原发性高血压患者24h血压的变化规律,比较动态血压和偶测血压的应用价值,为临床合理选择用药及护理提供依据。方法对60例原发性高血压患者和34例健康人进行24h动态血压监测,并与偶测血压比较。结果高血压病患者的偶测血压值均高于动态血压均值(P<0.01),而健康人动态与偶测血压比较无显著差异(P>0.05)。高血压病患者与健康人24h血压节律均显示出两峰一谷及昼高夜低的特点,但高血压病患者第1峰更为突出。结论动态血压较偶测血压监测对原发性高血压病的诊断更为准确,对临床合理用药及护理指导价值更大。

The research about ambulatory blood pressure monitoring during the course of nurisng patients with primary hypertension

Objective To investigate the 24-hour blood pressure rules in primary hypertension patients and compare the effect of ambulatory blood pressureand casual blood pressure in monitoring primary hypertension. Methods Twenty-four hours ambulatory blood pressure was measured and compared with casual blood pressure in 60 primary hypertension patients and 34 normal-tension persons. Results The mean values of ambulatory blood pressure were significant lower than that of casual blood pressure in patients with primary hypertension(P<0.01). The curves of 24-hour blood pressure in persons with primary hypertension and normal-tension had two peaks and one valley. The average of diurnal blood pressure was higher that of nocturnality, whereas the first peak was higher in patients with primary hypertension significantly. Conclusion Ambulatory bloodpressure monitoring is more valuable than casual blood pressure in the diagnosisof primary hypertension and can also indicate an optimal time for clinic nursingand medication.