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。 Objective: To investigate the changes of ambulatory blood pressure monitoring of gestational hypertension. Methods: A total of 350 pregnant women in Dongchangfu District Maternal and Child Health Hospital of Liaocheng City, Shandong Province were recruited. Ambulatory blood pressure monitoring was performed at 24 hours and the changes of blood pressure during pregnancy were observed. Results: 69 cases of hypertension group A, 281 cases of control group B, A group and B group, A group 24 h average systolic blood pressure, nocturnal blood pressure and blood pressure circadian rhythm abnormalities and other indicators were significantly higher than the B group , All with statistical significance (P <0.01). A group of ECG abnormalities (premature ventricular contractions, atrial premature beats, sinus tachycardia, ST-T changes) than the B group were significantly (P <0.01). CONCLUSIONS: During pregnancy, the use of ambulatory blood pressure monitoring of 24-h mean diastolic and mean arterial pressure may well monitor gestational hypertensive disorders.