O'Brien E, Cox J, O'Malley K
Blood Pressure Unit, Beaumont Hospital, Dublin, Ireland.
J Hypertens Suppl. 1991 Dec;9(8):S63-5.
Twenty-four-hour ambulatory blood pressure monitoring is passing from research into clinical practice and it is necessary to clarify circumstances for which 24-h ambulatory measurement will be most beneficial. Devices should be accurate and reasonably priced. The operator should be able to interpret 24-h recordings and be familiar with the operation of the equipment. The subject must be capable of complying with the instructions necessary for successful use of the device. In diagnosis, 24-h ambulatory blood pressure measurement is particularly useful in deciding whether subjects with borderline hypertension have a genuinely elevated blood pressure, in identifying white-coat hypertension, in determining dipper status and in diagnosing symptomatic hypotension. In the management of antihypertensive drug treatment, the technique helps the clinician to select the drug best suited to the individual patient in terms of duration of action and suitability for the individual 24-h profile; the technique also identifies any excessive reduction in blood pressure and provides a means of assessing resistant cases of hypertension.
24小时动态血压监测正从研究阶段进入临床应用阶段，有必要明确24小时动态血压测量最有益的情况。设备应准确且价格合理。操作人员应能够解读24小时记录，并熟悉设备操作。受试者必须能够遵守成功使用该设备所需的指示。在诊断方面，24小时动态血压测量在判定临界高血压患者的血压是否真正升高、识别白大衣高血压、确定杓型状态以及诊断症状性低血压时特别有用。在抗高血压药物治疗的管理中，该技术可帮助临床医生根据作用持续时间和个体24小时血压情况，选择最适合个体患者的药物；该技术还能识别血压过度降低的情况，并提供评估难治性高血压病例的方法。
