University of Padova, via Giustiniani 2, Padua, Italy.
J Clin Hypertens (Greenwich). 2012 Mar;14(3):139-43. doi: 10.1111/j.1751-7176.2011.00586.x. Epub 2012 Jan 23.
Self blood pressure measurement (SBPM) improves the overall management of hypertension provided it is implemented with methodologic care. This concerns especially the accuracy and technical requirements of blood pressure (BP) measuring devices that should be validated according to internationally accepted protocols. The use of memory-equipped automatic home monitors is strongly recommended because they reduce observer bias, avoid patients' misreporting, and allow fully automatic analysis by software. For current use, simple software should be worked out that allow for analysis of readings in an objective manner. Miscuffing is also a frequent source of measurement error in obese arms when oscillometric devices are used. Modern automatic devices can overcome this problem because of special software algorithms that can provide accurate measurements over a wide range of arm circumferences when coupled with a single cuff of standard dimensions. Tronco-conical-shaped cuffs are a key component of this instrumentation because they better fit on large conical arms frequently present in obese individuals. Semi-rigid cuffs should be increasingly used because they ensure that the proper amount of tension is applied without the intervention of the user. Continuous technology improvement of instrumentation for SBPM can be achieved through close cooperation between manufacturers and validation centers.
自我血压测量（SBPM）可以改善高血压的整体管理，只要它以方法学的护理来实施。这特别涉及到血压（BP）测量设备的准确性和技术要求，这些设备应该根据国际公认的协议进行验证。强烈建议使用具有记忆功能的自动家庭监测器，因为它们可以减少观察者的偏差，避免患者的错误报告，并允许软件进行全自动分析。对于当前的使用，应该制定出简单的软件，允许以客观的方式分析读数。在使用示波法设备时，肥胖手臂的袖带绑扎不当也是测量误差的常见原因。现代自动设备可以克服这个问题，因为它们具有特殊的软件算法，当与标准尺寸的单个袖带结合使用时，可以在广泛的臂围范围内提供准确的测量。圆锥形袖带是该仪器的关键组成部分，因为它们可以更好地适应肥胖个体中常见的大型圆锥形手臂。半刚性袖带应越来越多地使用，因为它们可以确保在没有用户干预的情况下施加适当的张力。通过制造商和验证中心之间的密切合作，可以实现 SBPM 仪器的连续技术改进。
