摘要
目的:对继发性与原发性高血压患者在动态血压监测中的日间和夜间变化规律进行分析。方法:收治高血压患者48例,作为主要研究对象,按照病因将其分为观察组(继发性高血压)与对照组(原发性高血压),各24例;对这两组患者进行24 h动态血压监测。结果:观察组患者24 h、日间与夜间收缩压与舒张压平均水平显著高于对照组;观察组夜间负荷压力明显小于对照组(P<0.05)。结论:观察组患者大多日间与夜间节律呈减弱或消失趋势,对照组患者大多呈明显的昼夜节律变化。该特点可作为鉴别继发性与原发性高血压的主要依据,值得临床进一步推广与应用。
Objective:To analyze the diurnal and nocturnal variation rule of secondary and essential hypertension in ambulatory blood pressure monitoring.Methods:48 patients with hypertension were selected.They were as the main research objects.According to the etiology,they were divided into the observation group(secondary hypertension) and the control group(primary hypertension)with 24 cases in each.The patients in two groups were given 24 hours ambulatory blood pressure monitoring.Results:The 24 hours,diurnal and nocturnal systolic blood pressure and diastolic blood pressure average levels of the observation group were significantly higher than those of the control group,and the nocturnal load pressure of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:The diurnal and nocturnal rhythms of patients in the observation group mostly have a tendency to weaken or disappear.The patients in the control group mostly have a significant circadian variation.The features can be used as the main basis for identification of secondary and primary hypertension.It is worthy of further promotion and application.
作者
雷琳
赵芝琴
Lei Lin;Zhao Zhiqin(Guiyang City Yunyan District Hospital 550003;Huaxi District People's Hospital of Guiyang City 550025)
出处
《中国社区医师》
2017年第11期105-106,共2页
Chinese Community Doctors
关键词
动态血压监测
继发性高血压
原发性高血压
Ambulatory blood pressure monitoring
Secondary hypertension
Primary hypertension
