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24h动态血压监测诊断继发性高血压的临床观察
Clinical observation of 24h ambulatory blood pressure monitoring diagnosis of secondary hypertention
【摘要】 目的探讨对24 h动态血压(ABPM)监测结果分析与临床诊断继发性高血压之间的关系。方法按国际上统一的高血压诊断、分类标准。入选范围:2010年6月-2013年6月,年龄17-40岁,临床经过ABPM诊断89例高血压病人,其中动态血压波形图为非杓型的,且昼夜差值百分比>30%的病人68例。经临床检测确诊为继发性高血压的病人59例。并对之间的关系进行评估。结果临床确诊为继发性高血压的病人。86.8%动态血压波形图为非杓型,且昼夜差值百分比为30%以上。结论随着高血压的普及化及低龄化,ABPM可作为继发性高血压的初选、独立判断因素。
【Abstract】 Objective To approach relation of ABPM monitoring result and diagnose secondary hypertension. Methods International blood pressure classification criteria. To be seleted limit: 89 patients aged 17 to 40 between June 2010 and June 2013, and diagnose hypertention, of the total ambulatory blood pressure oscillograph were non dipper patients,68 patient ’s day and night difference percent age were over 30 %. 59 people were diagnosd secondary hypertention. To evaluate the relations. Rrsults The patients who were diagnosd secondary hypertension,86. 8 % were non dipper, and their day and night difference percent age were over 30 %. Conclusion By the generalization and low age,the ABPM may be the factor as the disgnosis of secondary hypertension.
【Key words】 Secondary hypertension; 24h ambulatory blood pressure; Non dipper;
- 【文献出处】 中国地方病防治杂志 ,Chinese Journal of Control of Endemic Diseases , 编辑部邮箱 ,2016年01期
- 【分类号】R544.1
- 【被引频次】4
- 【下载频次】109