偶测血压与24 h动态血压监测对妊娠期高血压疾病诊断价值比较

摘要

目的:探讨偶测血压与24 h动态血压监测在妊娠期高血压疾病诊断中的应用价值.方法:选择在产科门诊新诊断的妊娠期高血压患者120例,分为初产妇组90例和经产妇组30例,进行偶测血压和24 h动态血压监测,将其监测结果进行对比分析.结果:2组孕妇偶测血压中的舒张压(DBP)差异无统计学意义(P>0.05),而经产妇组偶测血压的收缩压(SBP)及24 h动态血压均高于初产妇组(P0. 05). The DBP of the casual blood pressure and 24-hour ambulatory blood pressure in primipara group were higher than those in multipara group(P<0. 05 to P <0. 01). The diagnosis rate of pregnancy-induced hypertension disease of casual blood pressure(100. 0%) was significantly higher than that of 24-hour ambulatory blood pressure(25. 0%)(P <0. 01). The detection rate of pregnancy-induced hypertension disease of 24-hour ambulatory blood pressure in primipara group(12. 22%) was significantly lower than that in multipara group(63. 33%)(P<0. 01). Conclusions:Compared with the casual blood pressure,the 24-hour ambulatory blood pressure monitoring can continuously record the change of 24h blood pressure,which is convenient,can really reflect the blood pressure levels of the whole day,and has some advantages in the diagnosis and screening of pregnancy-induced hypertension disease.