Michel S C, Neidhart B, Koch J, Bachmann L M, Vetter W
Departement für Innere Medizin, Universitätsspital, Rämistrasse 100, 8091 Zürich.
Praxis (Bern 1994). 2001 Jan 18;90(3):51-5.
In this prospective cohort study on 43 patients, the blood pressure patterns measured fully automatically in the doctor's practice and at home were compared over an average period of eight months. In total, a highly significant correlation was found between professional and patient measurements for both systolic and diastolic values. However, over the entire study period, the values obtained in the doctor's practice were higher than the patient's measurements (systolic +17 mmHg, diastolic +9 mmHg). The values obtained in the practitioner's office exhibited a much greater fluctuation than the patient's measurements. The majority of the values measured in the practice were above the mean of the home measurements (65% systolic and 67% diastolic). On therapy, 28 percent of the patients showing hypertensive values in the practice measured normal pressures at home. In conclusion, the study shows a minor fluctuation and a better reproducibility of the patient's own measurements versus those taken in the practitioner's office.
在这项针对43名患者的前瞻性队列研究中,对在医生诊所和家中全自动测量的血压模式进行了平均为期八个月的比较。总体而言,收缩压和舒张压的专业测量值与患者测量值之间均存在高度显著的相关性。然而,在整个研究期间,在医生诊所获得的测量值高于患者的测量值(收缩压高17 mmHg,舒张压高9 mmHg)。在医生办公室获得的测量值比患者的测量值波动大得多。在诊所测量的大多数值高于在家测量值的平均值(收缩压为65%,舒张压为67%)。在接受治疗的患者中,28%在诊所显示高血压值的患者在家中测量血压正常。总之,该研究表明,与在医生办公室测量的结果相比,患者自身测量的波动较小且重现性更好。