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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指南的更新指南問世臨床研究個(gè)人經(jīng)驗(yàn)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
