| 摘要: |
| 目的探讨高血压患者家庭自测血压变异性（BPV）和24h动态血压的相关性。方法2014年2月至2016年11月，收集原发性高血压且完成7d家庭自测血压以及24h动态血压监测（ABPM）的患者170例。根据家庭自测BPV三分位分为低变异性组56例，中变异性组59例，高变异性组55例。结果与低变异性组相比，中变异性组ABPM的日间、全天BPV增高（均P＜0.05）；高变异性组无论日间、夜间还是全天，BPV均增高（均P＜0.05）。与中变异性组相比，高变异性组的日间、全天BPV均增高（均P＜0.05）。3组患者平均收缩压（SBP）、平均舒张压（DBP）均值和心率（HR）差异无统计学意义（均P＞0.05）。Pearson相关性分析显示，家庭自测BPV与24hABPM、SBPV、DBPV呈正相关。结论高血压患者7d家庭BPV与24hABPM的SBPV、DBPV密切相关。 |
| 关键词: 高血压 血压测定 血压变异性 |
| DOI：10.12056/j.issn.1006-2785.2018.40.6.2017-2684 |
| 分类号: |
| 基金项目:浙江省卫生厅项目（2016KYB006） |
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| Relationship between variability of self-measured blood pressure at home and ambulatory blood pressure monitoring in hypertensive patients |
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Zhejiang Hospital
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| Abstract: |
| Objective To investigate the relationship between variability of 7-day self-measured blood pressure at home and ambulatory blood pressure monitoring (ABPM) in hypertensive patients. Methods One hundred and seventy hypertensive patients, who measured their blood pressure themselves for 7 consecutive days at home and underwent 24h ambulatory blood pressure monitoring from February 2014 to November 2016, were divided into low blood pressure variability (BPV) group (n=56), moderate BPV group(n=59) and high BPV group(n=55). Results The ambulatory blood pressure variability of SBP and DBP was significantly higher in high BPV groups than in low BPV group all the time(P＜0.05). The ambulatory blood pressure variability was
significantly higher in moderate BPV groups than in low BPV group and in high BPV group than in moderate BPV group daily and daytime (P ＜0.05). Pearson correlation analysis showed that the variability of self-measured blood pressure at home was positively correlated with ambulatory blood pressure variability of SBP and DBP (P ＜0.05). Conclusion The blood pressure variability self-measured at home is closely related with ambulatory blood pressure monitoring in hypertensive patients. |
| Key words: Hypertension Blood pressure determination Blood pressurevariability |
