综上所述,睡眠血压为血管性事件的独立危险因素,非勺型血压可以显著增加冠心病、肾功能不全等事件的发生风险,而睡前服用降压药与晨起服用降压药相比,降低睡眠血压的效果更为显著,并可将非勺型血压改善为正常的勺型血压。
此外,睡前服用降压药可使心血管事件发生风险降低45%,睡前服用降压药是降低睡眠血压最简单的方法,应在临床中被逐渐推广,但在不同种类降压药的具体相关性如何仍需要前瞻性研究进一步探讨。
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