青岛大学医学院学报2017,Vol.53Issue(1):39-42,4.DOI:10.13361/j.qdyxy.201701012
HBPM对诊治白大衣高血压及促进生活方式改善作用
EFFECT OF HOME BLOOD PRESSURE MEASURING ON WHITE COAT HYPERTENSION AND IMPROVEMENT OF LIFE STYLE
马金荣 1王霞霞 1谭凯 1于玲范1
作者信息
- 1. 青岛大学附属医院心内科,山东青岛266003
- 折叠
摘要
Abstract
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 self testing 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 (x2=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.关键词
白大衣高血压/血压测定/家庭Key words
white coat hypertension/blood pressure measuring/family分类
医药卫生引用本文复制引用
马金荣,王霞霞,谭凯,于玲范..HBPM对诊治白大衣高血压及促进生活方式改善作用[J].青岛大学医学院学报,2017,53(1):39-42,4.