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目的观察高血压患者血压昼夜节律及高血压药物时间治疗的血压控制情况并分析影响因素。方法收集近3年住院高血压患者200例,根据动态血压监测结果将血压昼夜节律分为杓型、非杓型、反杓型及超杓型,按类型进行时间给药,随访2个月进行分析。结果入选患者中,正常血压节律87例,占43.5%;异常血压节律113例,占56.5%,其中非杓型占34.5%,反杓型占20%,超杓型占2%,中青年以正常血压节律为主,老年人以异常血压节律居多,治疗2个月,血压达标率72.5%,有71.68%的异常血压节律转为正常血压节律。结论高血压患者应重视血压节律的检测,强化高血压药物的时间治疗学。
Objective To observe the circadian rhythm of blood pressure and the control of blood pressure in patients with hypertension treated with time and analyze the influencing factors. Methods 200 cases of hospitalized patients with hypertension were collected in the recent 3 years. According to the results of ambulatory blood pressure monitoring, the circadian rhythm of blood pressure was divided into dipper, non-dipper, anti-dipper and super dipper. The rats were dosed by type and were followed up for 2 months analysis. Results Of the patients enrolled, 87 cases were normal blood pressure rhythm, accounting for 43.5%; 113 cases were abnormal blood pressure rhythm, accounting for 56.5%, of which non-dipper accounted for 34.5%, anti-dipper accounted for 20% and super-dipper accounted for 2% Normal blood pressure rhythm, the elderly with abnormal blood pressure rhythm most of the treatment for 2 months, blood pressure compliance rate of 72.5%, 71.68% of abnormal blood pressure rhythm switch to normal blood pressure rhythm. Conclusion Hypertensive patients should pay attention to the detection of blood pressure rhythm and strengthen the time therapy of hypertension drugs.