摘要
目的探讨家庭自测血压(HBPM)对白大衣高血压(WCH)诊断治疗和促进生活方式改善的作用。方法 WCH病人63例,随机分为自测组(32例)和常规组(31例)。自测组病人行诊室血压测量(CBPM)、24h动态血压监测(ABPM)及HBPM,常规组仅行CBPM和24hABPM。要求两组病人改善生活方式,随访12周,比较HBPM与24hABPM监测结果、病人生活方式的改善情况及血压的达标情况。结果自测组病人的生活方式较常规组改善明显。自测组多次HBPM的收缩压与舒张压的平均值与24hABPM白昼平均收缩压及舒张压差异无显著性(P>0.05)。自测组病人血压达标率为31.25%,明显高于常规组9.68%,差异有显著性(χ~2=4.47,P<0.05);自测组收缩压降低较常规组明显,差异有显著性(t=3.78,P<0.01)。结论 HBPM在WCH诊断、治疗和促进生活方式改善方面具有重要的指导作用。
Objective To assess the effect of home blood pressure measuring（HBPM）on white coat hypertension（WCH）and improvement of life style. Methods Sixty-three patients with WCH were randomly divided into two groups as selftesting group（n=32）and regular group（n=31）.Patients in the self-testing group received clinic blood pressure measurement（CBPM）,24-hour ambulatory blood pressure monitoring（ABPM）and HBPM,and those in the regular group were given CBPM and 24-hour ABPM.The patients in the two groups were requested to improve their way of life,and followed up for 12 weeks.A comparison between the two groups was conducted regarding the following items：the result between HBPM and 24-hour ABPM,improvement of life style,and blood pressure. Results The quality of life of patients in the self-testing group was much improved versus that of those in regular group.In the self-testing group,the difference in repeatedly average level of mean systolic blood pressure（BP）and diastolic BP of HBPM and daytime mean systolic BP and diastolic BP of 24-hour ABPM was not significant（P〉0.05）.The qualification rate of BP in self-testing group was 31.25,being much higher than that of 9.68%in the regular group（χ^2=4.47,P〈0.05）,the drop of systolic pressure was more obvious as compared with that in the regular group（t=3.78,P〈0.01）. Conclusion HBPM plays an important guiding role in the diagnosis of white coat hypertension,its treatment and promoting lifestyle improvement of patients with the disease.
作者
马金荣
王霞霞
谭凯
于玲范
MA Jinrong WANG Xiaxia TAN Kai YU Lingfan(Department of Cardiovascular Medicine, The Affiliated Hos- pital of Qingdao University, Qingdao 266003, Chin)
出处
《青岛大学医学院学报》
CAS
2017年第1期39-42,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
白大衣高血压
血压测定
家庭
white coat hypertension
blood pressure measuring
family
