Abstract:Objective To investigate the application of ambulatory blood pressure monitoring(ABPM) in medical evaluation of aircrew with early hypertension.Methods According to 24 hour mean value of ambulatory blood pressure, 32 aircrews with office hypertension were divided into ABPM hypertension group and white coat hypertension (WCH) group, 30 healthy men pilots were for the control group.Results A total of 17 cases (53.13%) were diagnosed with grade 1 hypertension by ABPM, and 15 cases(46.88%) were diagnosed as white coat hypertension. Night systolic blood pressure fall rate (nSBPF) and night diastolic blood pressure fall rate (nDBPF) were similar in three groups. 24 h systolic blood pressure load (24hSBPL) and 24h diastolic blood pressure load (24hDBPL) were statistically significant differences among the three groups.Conclusion Blood pressure in ABPM hypertension group and WCH group still maintain normal circadian rhythm. 24hSBPL and 24hDBPL are much more sensitive indexes to classify the three groups. ABPM can be used as the important reference index of early diagnosis,treatment and medical evaluation on aircrew with hypertension.
王海燕, 姚向荣, 袁博丽. 飞行人员早期高血压病动态血压分析及医学鉴定[J]. 解放军预防医学杂志, 2016, 34(3): 354-356.
WANG Haiyan, YAO Xiangrong, YUAN Boli. Application of Ambulatory Blood Pressure Monitoring in Medical Evaluation of Aircrew with Early Hypertension. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(3): 354-356.
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