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目的:评价隐匿性高血压临床诊治中动态血压监测的应用价值。方法:选取2014年5月至2016年8月中山大学孙逸仙纪念医院门诊体检的患者共300例,按照年龄层次进行分组,其中青年组85例(16~44岁),中年组94例(45~64岁),老年组121例(65~77岁),采用动态血压检测仪对3组进行24 h动态血压监测,观察、比较隐匿性高血压及血压正常的占比情况。结果:老年组隐匿性高血压的患病率为43.0%,高于中年组29.8%和青年组16.5%,差异具有统计学意义(P<0.05);中年组和青年组比较,差异具有统计学意义(P<0.05)。结论:在隐匿性高血压临床诊治中,进行动态血压监测可以提供重要的诊断价值,有助于高血压患者疾病的诊断和治疗。
Objective: To evaluate the value of ambulatory blood pressure monitoring in the diagnosis and treatment of occult hypertension. Methods: From May 2014 to August 2016, 300 outpatients from Sun Yat-sen Memorial Hospital of Sun Yat-sen University were enrolled and divided into groups according to their age groups. There were 85 cases (16-44 years) in the youth group and 94 cases (45 cases) ~ 64 years old), and 121 elderly patients (65-77 years old). The ambulatory blood pressure monitoring was performed on ambulatory blood pressure monitor for 24 hours by ambulatory blood pressure monitor. The occult hypertension and normotensive proportions were compared. Results: The prevalence of occult hypertension in the elderly group was 43.0%, higher than 29.8% in the middle-aged group and 16.5% in the young group (P <0.05). There was a significant difference between the middle-aged group and the young group Statistical significance (P <0.05). Conclusion: In the clinical diagnosis and treatment of occult hypertension, ambulatory blood pressure monitoring can provide important diagnostic value and contribute to the diagnosis and treatment of the disease in hypertensive patients.