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家庭血压监测:一种用于监测已治疗患者高血压控制情况的新标准方法。

Home blood pressure monitoring: a new standard method for monitoring hypertension control in treated patients.

作者信息

Pickering Thomas G

机构信息

Behavioral Cardiovascular Health and Hypertension Program, Columbia Presbyterian Medical Center, New York, NY 10032, USA.

出版信息

Nat Clin Pract Cardiovasc Med. 2008 Dec;5(12):762-3. doi: 10.1038/ncpcardio1374. Epub 2008 Oct 14.

Abstract

Inadequate blood pressure (BP) control in patients with treated hypertension can be influenced by patient behavior, the inaccuracy of BP measurement in the clinical setting, and the fact that no single class of medication is universally effective. Home BP monitoring (HBPM) enables accurate measurement of BP and has been recommended (by multiple societies and associations) for the diagnosis of hypertension and the evaluation of antihypertensive treatment. Although HBPM is thought to improve BP control as a result of patients' increased adherence to their medication, this improvement is limited. Green et al. have shown that HBPM in combination with regular internet correspondence with a medical professional is a highly effective therapeutic strategy for BP control, possibly because this strategy is associated with an increase in number of prescriptions. This strategy should, therefore, be routinely used in the management of patients with hypertension.

摘要

接受治疗的高血压患者血压控制不佳可能受患者行为、临床环境中血压测量的不准确以及没有单一类别的药物普遍有效的影响。家庭血压监测(HBPM)能够准确测量血压,并且(多个学会和协会)已推荐其用于高血压的诊断和抗高血压治疗的评估。尽管人们认为家庭血压监测由于患者对药物治疗依从性的提高而改善了血压控制,但这种改善是有限的。格林等人已经表明,家庭血压监测与与医疗专业人员定期进行互联网通信相结合是一种控制血压的高效治疗策略,这可能是因为该策略与处方数量的增加有关。因此,该策略应常规用于高血压患者的管理。

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