摘要
选择上海人民出版社医务室管辖的７７０名职工中的１０８例高血压（确诊１０２例，临界６例）为对象，观察停服降压药２周以上后的２４ｈ动态血压（ＡＢＰ）参数。在１０１例（检测率９３．５％）受检患者中，ＡＢＰ各项参数均正常者占１９．８％，随年龄增大而减少，男性１５．２％，女性３６．４％（Ｐ＜０．０５）；各项参数均升高者占２５．７％，随年龄增大而增加，男性３０．４％，女性９．１％（Ｐ＜０．１）。高血压患病率根据随测血压的ＷＨＯ标准为１４．０％，按照ＡＢＰ参数则为１１．２％。结果提示动态血压监测可以作为高血压诊断的二级筛选手段，有助于识别＂诊所高血压＂和高危患者。
The purpose of this study was to explore the potentials adventages of ABP in the diagnoses of hypertension.The ABP was determined in 108 cases of mild-to-moderate hypertensive patients established by office BP measurement among 770 subjects of Shanghai People's Publishers using SpaceLabs 90202 at least 2 weeks after stopping the antihypertensive drugs.The results showed that the parameters of ABP were normal in 19.8% of subjects who had been diagnosed as established hypertension,and all of the parameters of ABP were elevated in only 25.7% of the patients. The prevalence of hypertension in this cohort of population was 14.0% according to WHO criteria for hypertension by measuring casual blood pressure(CBP),but only 11.2% by using ambulatory blood pressure monitoring(ABPM).19.8% of the subjects should be catagorized as office hypertension or white coat hypertension. It is suggested that ABPM may be a valuable approach as a secondary screenig method in confirming or excluding the diagnosis of hypertensive patients made by office BP measurement.
关键词
高血压
动态血压
诊断
hypertension
ambulatory blood pressure
casual blood pressure
office hypertension
