CAJ | 학술논문

动态血压能实际反映24 h血压的总体水平、波动状况及昼夜变化规律，较诊室血压更接近真实，有利于高血压的诊断及治疗。动态血压主要新的参数血压变异性及血压晨峰与心、脑、血管等靶器官的损伤高度相关。高血压治疗中应考虑合理的降压治疗方案，正确选择药物及评价药物的疗效，避免J型曲线现象。新的参数成为老年人控制血压水平的重要目标。目前临床应用动态血压还只是间断性测量血压，其测量的完整性、精确性还需进一步研究。
동태혈압능실제반영24 h혈압적총체수평、파동상황급주야변화규률，교진실혈압경접근진실，유리우고혈압적진단급치료。동태혈압주요신적삼수혈압변이성급혈압신봉여심、뇌、혈관등파기관적손상고도상관。고혈압치료중응고필합리적강압치료방안，정학선택약물급평개약물적료효，피면J형곡선현상。신적삼수성위노년인공제혈압수평적중요목표。목전림상응용동태혈압환지시간단성측량혈압，기측량적완정성、정학성환수진일보연구。
The ambulatory blood pressure monitoring can reflect the overall level,fluctuation and varia-bility of 24 h blood pressure,which is closer to reality than clinic blood pressure ,and is advantageous to the diagnosis and treatment of hypertension.The main new parameters of blood pressure—variability and morning blood pressure surge are highly related to the cardiovascular,brain,carotid damage and damage of other target organs.Reasonable antihypertensive treatment scheme should be considered in hypertension treatment ,correct selection of drugs and drug efficacy evaluation should be done to avoid the phenomenon of J type curve .The new parameters become important goals on the control of elderly blood pressure levels .The current clinical application of ambulatory blood pressure monitoring is only intermittent measure of blood pressure , the integrity and accuracy of which still need further study.