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选择上海人民出版社医务室管辖的７７０名职工中的１０８例高血压（确诊１０２例，临界６例）为对象，观察停服降压药２周以上后的２４ｈ动态血压（ＡＢＰ）参数。在１０１例（检测率９３．５％）受检患者中，ＡＢＰ各项参数均正常者占１９．８％，随年龄增大而减少，男性１５．２％，女性３６．４％（Ｐ＜０．０５）；各项参数均升高者占２５．７％，随年龄增大而增加，男性３０．４％，女性９．１％（Ｐ＜０．１）。高血压患病率根据随测血压的ＷＨＯ标准为１４．０％，按照ＡＢＰ参数则为１１．２％。结果提示动态血压监测可以作为高血压诊断的二级筛选手段，有助于识别＂诊所高血压＂和高危患者。
One hundred and eighty hypertensive patients (102 diagnosed and 6 critical) under the jurisdiction of Shanghai People’s Press Medical Center were selected for the ambulatory blood pressure (ABP) parameters of 24h after antihypertensive drugs were stopped for more than two weeks. In 101 cases (detection rate 93.5%) of the tested patients, all parameters of ABP were normal, accounting for 19.8%, decreased with age, male 15.2%, female 36.4% (P < 0.05). The increase of each parameter accounted for 25.7%, which increased with age, 30.4% in males and 9.1% in females (P <0.1). The prevalence of hypertension was 14.0% based on the WHO blood pressure measurement and 11.2% according to the ABP parameter. The results suggest that ambulatory blood pressure monitoring can be used as a secondary screening method for the diagnosis of hypertension, helping to identify “clinically high blood pressure” and high-risk patients.