Zuspan F P, Rayburn W F
Department of Obstetrics and Gynecology, Ohio State University College of Medicine, Columbus.
Am J Obstet Gynecol. 1991 Jan;164(1 Pt 1):2-6. doi: 10.1016/0002-9378(91)90613-v.
Portable electronic and mechanical aneroid instruments for blood pressure self-monitoring are available, inexpensive, and reasonably accurate. Instructing the patient at risk for borderline, mild hypertension or chronic hypertension during pregnancy on self-monitoring of blood pressure has advantages. Combined with conventional office measurements, many daily recordings give an accurate picture of an individual's dynamic blood pressure. Lower blood pressures commonly found outside the office are likely attributable to an increased awareness, less anxiety, and attention by the patient to nonpharmacologic factors. Such persons may well avoid antihypertensive therapy or antepartum hospitalization. This information provides a strong incentive to undertake and adhere to an appropriate plan of treatment for those patients whose hypertension is confirmed by blood pressure self-monitoring technique. We consider blood pressure self-measurement to complement other reported monitoring techniques for active patient participation at home or in the work setting. It also permits an early evaluation of blood pressure alterations to rule out preeclampsia, especially in the pregnant patient with chronic essential hypertension.
用于血压自我监测的便携式电子和机械无液仪器价格便宜且精度合理。指导处于临界、轻度高血压风险或孕期慢性高血压患者进行血压自我监测具有诸多益处。结合传统的诊室测量，多次日常记录能准确呈现个体的动态血压情况。通常在诊室之外测得的较低血压可能归因于患者意识增强、焦虑减轻以及对非药物因素的关注。这类人群很可能避免抗高血压治疗或产前住院。这些信息为那些经血压自我监测技术确诊高血压的患者实施并坚持适当的治疗方案提供了强大动力。我们认为血压自我测量可补充其他已报道的监测技术，以促使患者在家中或工作场所积极参与。它还能对血压变化进行早期评估，以排除先兆子痫，尤其是对于患有慢性原发性高血压的孕妇。
