曾淵如2006-07-262018-07-112006-07-262018-07-112000http://ntur.lib.ntu.edu.tw//handle/246246/23445以188 位（88 位男性及100 位女性）， 年齡介於26 至75 歲之受檢者，作為有白袍高 血壓之目標器官損傷的研究對象。診斷之隨機 血壓測定是利用傳統水銀柱血壓計。24 小時 移動式血壓的記錄是利用Del Mar Avionics, 1990 IV 系統之記錄器。目標器官之評估利用 心電圖、胸部X 光、尿液分析、眼底檢查。 結果，有6.4%之受檢者有目標器官損 傷，其中胸部X 光顯示左心室肥厚出現於 1.1%的受檢者，心電圖顯示左心室肥厚出現於 2.7%的受檢者，蛋白尿出現於1.6%的受檢 者，而視網膜病變出現於1.1%的受檢者。 因此，白袍高血壓代表孤立性診室高血壓 的較低危險層，但是病人必須確立並規則的追 蹤。To investigate the target organ damage in subjects with white coat hypertension. A total of 188 consecutive subjects (88 men and 100 women), aged 26 to 75 years were studied. Office casual blood pressure measurements were obtained by standard sphygmomanometric methods. 24-hour blood pressures were recorded by a commercial ambulatory pressure recorder (Del Mar Avionics, model 1990 pressurometer IV system). Their hypertension-related target organ complications were assessed by ECG, chest x-ray, urinalysis and an eye-fundus examinations. There were 6.4% of the studied subjects with target organ damage. The roentgenographic LVH was found in 1.1% of the studied subjects and the electrocardiographic LVH in 2.7% of the studied subjects. The proteinuria was observed in 1.6% of subjects studied and the retinopathy in 1.1% of subjects studied. Accordingly, WCH represents a low risk stratum of subjects with isolated office hypertension. However, those subjects should be identified and followed up regularly.application/pdf83048 bytesapplication/pdfzh-TW國立臺灣大學醫學院內科白袍高血壓左心室肥厚蛋白尿視網膜病變移動式血壓white coat hypertensionleft ventricular hypertrophyproteinuriaretinopathyambulatory blood pressurereporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/23445/1/892314B002067.pdf