24 h动态血压监测与家庭血压自测在原发性高血压诊治中的应用

摘要

24 h动态血压监测和家庭血压自测在原发性高血压病的诊断和治疗中有着重要作用，可用于鉴别原发性高血压和继发性高血压。与诊室血压相比，在诊断白大衣高血压、隐匿性高血压、清晨高血压、夜间高血压等特殊类型高血压以及体位性低血压中具有明显的优势，还可以预测靶器官的损害程度，能减少心血管事件的发生，并在评判高血压的治疗效果方面具有重要临床意义。%24 h ambulatory blood pressure monitoring and home blood pressure monitoring play important roles in the diagnosis and treatment of hypertension. They can identify essential hypertension and secondary hypertension, and ef-fectively diagnose white coat hypertension, masked hypertension, morning hypertension, nocturnal hypertension, and postural hypotension. They can also predict organ damage and cardiovascular events, evaluate antihypertensive effects and indicate the effects of antihypertensive drugs.