Ohkubo Takayoshi, Asayama Kei, Imai Yutaka
Department of Clinical Pharmacology and Therapeutics, Graduate School of Pharmaceutical Sciences and Medicine, Tohoku University Hospital, Sendai, 980-8574, Japan.
Expert Rev Neurother. 2006 Feb;6(2):163-73. doi: 10.1586/14737175.6.2.163.
Home blood pressure measurements more accurately and reliably reflect target organ damage and the prognosis of cardiovascular disease than conventional blood pressure measurements. All evidence of the value of home blood pressure measurement in predicting stroke is currently derived from a population-based prospective study in Japan (the Ohasama study). The authors demonstrated that home blood pressure measurement provides more useful prognostic information on stroke than conventional blood pressure measurements. The predictive value of home blood pressure measurement increased progressively with the number of measurements. Even the initial-first home blood pressure values (one measurement) showed a significantly greater relation with stroke risk than conventional blood pressure values (mean of two measurements). Home blood pressure measurement increased the predictive power of categorizations of guidelines compared with conventional blood pressure measurement. Home blood pressure measurement is a useful tool to predict future risk of stroke.
与传统血压测量相比，家庭血压测量能更准确、可靠地反映靶器官损害及心血管疾病的预后。目前，家庭血压测量在预测中风方面价值的所有证据均来自日本一项基于人群的前瞻性研究（大分县研究）。作者证明，与传统血压测量相比，家庭血压测量能为中风提供更有用的预后信息。家庭血压测量的预测价值随着测量次数的增加而逐渐提高。即使是首次家庭血压初始值（一次测量）与中风风险的关联也显著大于传统血压值（两次测量的平均值）。与传统血压测量相比，家庭血压测量提高了指南分类的预测能力。家庭血压测量是预测未来中风风险的有用工具。
