家庭血压测量及动态血压测量与诊室血压测量的比较
[Home blood pressure measurement and ambulatory blood pressure measurement versus office blood pressure measurement].
作者信息
Gomes M A, Pierin A M, Segre C A, Mion Júnior D
机构信息
Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo.
出版信息
Arq Bras Cardiol. 1998 Oct;71(4):581-5. doi: 10.1590/s0066-782x1998001000004.
PURPOSE
To compare both home blood pressure measurement (HBPM) and ambulatory blood pressure monitoring (ABPM) with office blood pressure measurement (OBP); and also to compare the correlation between HBPM and OBP with LVMI (left ventricular mass index).
METHODS
Protocol 1--68 hypertensive patients (58 +/- 12 years, 37 females): a) self recorded blood pressure at home in the 7 days; b) recorded the ABPM during 24 hours; and c) the physician recorded blood pressure in the office. Protocol 2-41 hypertensive patients underwent the HBPM, OBP, and BI-dimensional echocardiogram.
RESULTS
Protocol 1--OBP (153 +/- 24/96 +/- 13 mmHg) was higher (p < 0.05) than HBPM (133 +/- 18/84 +/- 12 mmHg) and ABPM (137 +/- 17/87 +/- 12 mmHg); Protocol 2--LVMI correlated better with HBPM (r = 0.39/0.49, p < 0.05, systolic and diastolic, respectively) than OBP (r = 0.02/ 0.22, p > 0.05, systolic and diastolic, respectively).
CONCLUSION
This study showed that HBPM has a better correlation with LVMI than OBP.
目的
比较家庭血压测量（HBPM）和动态血压监测（ABPM）与诊室血压测量（OBP）；并比较HBPM与OBP和左心室质量指数（LVMI）之间的相关性。
方法
方案1——68例高血压患者（58±12岁，37名女性）：a）在7天内自行在家记录血压；b）记录24小时动态血压；c）医生在诊室记录血压。方案2——41例高血压患者接受了HBPM、OBP和二维超声心动图检查。
结果
方案1——OBP（153±24/96±13 mmHg）高于HBPM（133±18/84±12 mmHg）和ABPM（137±17/87±12 mmHg）（p<0.05）；方案2——LVMI与HBPM的相关性更好（收缩压和舒张压的r值分别为0.39/0.49，p<0.05），优于OBP（收缩压和舒张压的r值分别为0.02/0.22，p>0.05）。
结论
本研究表明，HBPM与LVMI的相关性优于OBP。
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