the-dilemma-of-nocturnal-blood-pressure-夜间血压的窘境.ppt

《the-dilemma-of-nocturnal-blood-pressure-夜间血压的窘境.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、ThedilemmaofnocturnalbloodpressureJClinHypertens(Greenwich).2012;14:787–791.徐坦ThefirstaffiliatedhospitalofSTUMC100s:Riva-RocciandKorotkoff,conventionalbloodpressuremonitoring.40s:ABPM,itisgenerallyacceptedthatABPMestimates‘‘true’’meanBPandhasbettercorrelationwithend-organdamageandcard

2、iovascularoutcomes.(NewEnglandJournalofMedicine)24:ThedippingphenomenonwasfirstcoinedbyO’Brienandcolleagues.Nondippinghasbeenconsideredanabnormaldiurnalrhythm,whichisassociatedwithgreatercardiovascularandcerebrovasculardiseases.(lancet)IntroductionThefirstaffiliatedhospitalofSTUMC2011

3、:NBPlevelsratherthancircadianBPpatternaremoreaccurateinpredictingmortalityandmorbidityrelatedtoBP,independentofmeanBPanddaytimeBPlevels.2007:isolatednocturnalhypertensionasapotentiallynovelclinicalentityderivedfromaChinesepopulationstudywasexaminedbyLiandcolleagues.10.5%IntroductionTh

4、efirstaffiliatedhospitalofSTUMCIntroduction指南的更新指南问世临床研究个人经验100SCBPM40SABPM24dippingphenomenon07INHThefirstaffiliatedhospitalofSTUMC1.MethodsformonitoringNBP;2.Accurateperiodofnocturnaltime;3.DiagnosticthresholdsofabnormalNBP;4.whethertocontrolabnormalNBP;5.howtomanageabnormalNBP.Dile

5、mmaThefirstaffiliatedhospitalofSTUMCMethodsformonitoringNBPABPMprovidesthefollowingthreetypesofinformationMeanBPlevel;ThediurnalrhythmofBP;BPvariability.Thisfullyautomaticandtheoreticalnon-sleepdisturbancetechniqueisalsoanidealmethodtomonitorNBP.agoldenstandardforNBPmeasurement(2006)T

6、hefirstaffiliatedhospitalofSTUMCMethodsformonitoringNBPABPMhasitsownvitallimitations:Sonorousstimuli:disturbsleep,thecorrelationbetweenNBPandTODABPMisnotcommonlyemployedinroutineclinicalpracticeforevaluatingNBPThefirstaffiliatedhospitalofSTUMCMethodsformonitoringNBPFullyautomatichomeB

7、PdevicesManualBPdeviceItisimportanttorecognizethatanexactandpracticalmethodforthemeasurementofNBPisessential.ThefirstaffiliatedhospitalofSTUMCAccurateperiodofnocturnaltimeTherehasbeennoconfirmedperiodofnocturnaltimeforNBP.Patients’diaryentries:noobjectivelyArbitraryfixedtime:1AMto6AM1

8、1PMto