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目的:探讨妊娠期高血压患者24小时血压变化的特点,为临床提供诊疗依据。方法:采用ADCO,LTD-(日本)公司生产的动态血压监测仪,选取我院住院治疗的妊娠高血压疾病患者60例,其中将重度子痫前期与子痫30例,列为子痫组;轻度子痫前期30例列为轻度子痫组;选正常妊娠孕妇30例作为对照组;分别进行24小时动态血压监测。结果:子痫组24小时平均收缩压、夜间血压及血压昼夜节律明显高于轻度子痫组和对照组(P<0.01)。结论:随着妊娠期高血压疾病的加重,24小时平均收缩压值,夜间平均收缩压和舒张压值,血压昼夜节律的异常率升高与血压升高有密切的关系。
Objective: To investigate the characteristics of 24-hour blood pressure changes in patients with gestational hypertension and provide the basis for clinic diagnosis and treatment. Methods: Sixty patients with hypertensive disorder complicating pregnancy in our hospital were selected by using the dynamic blood pressure monitor produced by ADCO, LTD- (Japan) Company. Among them, 30 cases of severe preeclampsia and eclampsia were included as eclampsia group; 30 cases of mild preeclampsia were classified as mild eclampsia group; 30 cases of normal pregnant women as control group; 24 hours ambulatory blood pressure monitoring respectively. Results: 24 hours mean systolic pressure, nocturnal blood pressure and circadian rhythm of blood pressure in eclampsia group were significantly higher than those in mild eclampsia group and control group (P <0.01). CONCLUSIONS: With the increase of gestational hypertension, 24-hour mean systolic pressure, nighttime average systolic and diastolic blood pressure, the abnormal rate of blood pressure circadian rhythm is closely related to the increase of blood pressure.