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目的探讨对24 h动态血压(ABPM)监测结果分析与临床诊断继发性高血压之间的关系。方法按国际上统一的高血压诊断、分类标准。入选范围:2010年6月-2013年6月,年龄17-40岁,临床经过ABPM诊断89例高血压病人,其中动态血压波形图为非杓型的,且昼夜差值百分比>30%的病人68例。经临床检测确诊为继发性高血压的病人59例。并对之间的关系进行评估。结果临床确诊为继发性高血压的病人。86.8%动态血压波形图为非杓型,且昼夜差值百分比为30%以上。结论随着高血压的普及化及低龄化,ABPM可作为继发性高血压的初选、独立判断因素。
Objective To investigate the relationship between 24-hour ambulatory blood pressure (ABPM) monitoring results and clinical diagnosis of secondary hypertension. Methods According to the international unified diagnosis and classification of hypertension. Selection range: June 2010 - June 2013, aged 17-40 years old, clinical diagnosis of 89 cases of ABPM by ABPM patients, including ambulatory blood pressure wave chart non-dipper, and the difference between day and night, the percentage of patients> 30% 68 cases. 59 patients diagnosed as secondary hypertension by clinical test. And the relationship between the assessment. Results of clinical diagnosis of secondary hypertension in patients. 86.8% of ambulatory blood pressure waveforms are non-dipper, and the difference between day and night is above 30%. Conclusion With the popularization and younger age of hypertension, ABPM can be taken as the primary and independent judge of secondary hypertension.