24h動態血壓監測與家庭血壓自測在原發性高血壓診治中的應用效果對比

馬松權

[摘要]目的 探究24 h動態血壓監測與家庭血壓自測在原發性高血壓診治中的應用效果。方法 選取2016年1月～2017年3月我院心血管內科收治的240例原發性高血壓患者作為研究對象，按照信封隨機分組方法分為常規組（120例）與實驗組（120例），常規組采用24 h動脈血壓監測，實驗組在此基礎上采用家庭血壓自測培訓，比較兩組的血壓與血壓變異性。結果 實驗組干預后的血壓水平低于干預前，差異有統計學意義（P<0.05）；實驗組干預后的血壓水平低于常規組，差異有統計學意義（P<0.05）；實驗組干預后的24 h平均收縮壓（SBP）為（128.52±7.45）mmHg，低于常規組（137.56±7.96）mmHg，差異有統計學意義（P<0.05）；兩組干預后24 h平均舒張壓（DBP）比較，差異無統計學意義（P>0.05）。結論 對原發性高血壓患者給予24 h動態血壓監測+家庭血壓自測培訓，便于在家中對血壓進行監測，利于有效控制血壓水平，改善血壓變異性，值得采納。

[關鍵詞]原發性高血壓；家庭血壓自測；24 h動態血壓

[中圖分類號] R544.1 [文獻標識碼] A [文章編號] 1674-4721（2018）8（a）-0073-03

Comparison of the effect of 24-hour ambulatory blood pressure monitoring and home blood pressure self-test in diagnosis and treatment of primary hypertension

MA Song-quan

Department of Internal Medicine， the First People′s Hospital of Huizhou City in Guangdong Province， Huizhou 516003， China

[Abstract]Objective To explore the application effect of 24 h dynamic blood pressure monitoring and home blood pressure self-measurement in the diagnosis and treatment of primary hypertension. Methods From January 2016 to March 2017， 240 cases of patients with essential hypertension （EH） of cardiovascular internal medicine were adopted as the research object， and divided into normal group （120 cases） and the experimental group （120 cases） according to the envelope randomized method. The normal group routines used 24 h arterial blood pressure monitoring， and the experimental group routines used home blood pressure self-test training on basis the normal group. The blood pressure and blood pressure variability were compared between the two groups. Results After intervention， the experimental group′s blood pressure level was lower than before， the difference was statistically significant （P<0.05）. After the intervention ，the blood pressure level of the experimental group was lower than the normal group， the difference was statistically significant （P<0.05）. The experimental group′s 24 h SBP after the intervention was （128.52±7.45） mmHg， lower than （137.56±7.96） mmHg in the conventional group after the intervention， the difference was statistically significant （P<0.05）. There was no statistically significant difference in 24 h DBP after intervention between the two groups（P>0.05）. Conclusion For the patients with primary hypertension， to adopt 24 h ambulatory blood pressure monitoring + home blood pressure self-test training is easy to monitor blood pressure at home， effective to control blood pressure and to improve blood pressure variability. Which is worthy adopting.