远程家测血压交互管理对一过性高血压患者的临床效果分析

发布时间：2018-02-10 01:47

本文关键词： 一过性高血压远程家测血压管理病因　出处：《重庆医学》2017年34期 　论文类型：期刊论文

【摘要】：目的筛查常规高血压管理人群中一过性高血压的发生率并进行相关病因、构成比分析。方法对神经内科门诊及住院患者诊室血压及24h动态血压达到高血压诊断标准者,进行远程连续家测血压跟踪的医患交互式管理,连续观察2个月家测血压数据,血压正常者纳入一过性高血压的入选标准并排除症状性高血压,分析病因并随访观察。结果 300例符合高血压诊断标准的患者中,符合一过性高血压标准的病例为46例,占15.3%。观察病例中导致一过性高血压的病因及构成比依次为:焦虑抑郁状态25例(54.3%),急性脑血管病8例(17.4%),睡眠障碍7例(15.2%),各种头面痛4例(8.7%),癫痫强直阵挛1例(2.2%),眩晕发作1例(2.2%)。结论实施远程家测血压医患交互式管理有利于发现一过性高血压的人群,避免过度降压药物治疗。
[Abstract]:Objective to screen the incidence of transient hypertension in the general hypertension management population and analyze the relative etiology and constitution. Methods the blood pressure and 24 h ambulatory blood pressure of the outpatients and inpatients in the department of neurology reached the diagnostic standard of hypertension. The patient / doctor interactive management of remote continuous home blood pressure monitoring was carried out, and the blood pressure data were observed continuously for 2 months. The patients with normal blood pressure were included in the inclusion criteria of transient hypertension and were excluded from symptomatic hypertension. Results among 300 patients who met the diagnostic criteria of hypertension, 46 patients met the criteria of transient hypertension. The etiology and composition of transient hypertension in the observed cases were as follows: anxiety and depression in 25 cases, acute cerebrovascular disease in 8 cases, sleep disorder in 7 cases, head pain in 4 cases, epileptic tonoclonic clonus in 1 case, dizziness in 1 case, dizziness. Conclusion the interactive management of remote home blood pressure measurement by doctors and patients is beneficial to the people who find transient hypertension. Avoid excessive antihypertensive medication.
【作者单位】：陆军军医大学大坪医院野战外科研究所神经内科三病区;
【分类号】：R544.1

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