Imai Yutaka
Department of Planning for Drug Development and Clinical Evaluation, Tohoku University Graduate School of Pharmaceutical Sciences, Clinical Pharmacy Educational and Research Building, 2-1 Seiryo-cho, Aoba-ku, Sendai, 980-8575, Japan,
Clin Exp Nephrol. 2014 Feb;18(1):24-40. doi: 10.1007/s10157-013-0831-7. Epub 2013 Jul 3.
Home blood pressure (BP) is highly reproducible and its reproducibility is better than ambulatory BP. Because of this feature, home BP has a greater prognostic value at least than clinic BP and is extremely effective for the evaluation of drug effects and their duration. The introduction of home BP for the diagnosis and treatment of hypertension facilitates long-term BP control. Home BP is particularly important for the diagnosis and treatment of hypertension in renal diseases, diabetes mellitus, pregnancy, and children. Home BP measurements improve adherence to medications and medical consultations, and are indispensable for diagnosis of white coat hypertension and masked hypertension. Such efficiency improves the medical economy. Home BP can detect minimal change in BP mediated by medication, and intrinsic and extrinsic stimuli and detect long-term change in BP. Thus, home BP is now indispensable for improvement in the management of hypertension in medical practice as well as for the recognition of hypertension in the general population. Standardization of the measurement procedure may elevate the position of home BP in the practice of diagnosing and treating hypertension.
家庭血压(BP)具有高度可重复性,且其可重复性优于动态血压。由于这一特性,家庭血压至少比诊所血压具有更大的预后价值,并且在评估药物疗效及其持续时间方面极其有效。引入家庭血压用于高血压的诊断和治疗有助于长期血压控制。家庭血压对于肾脏疾病、糖尿病、妊娠和儿童高血压的诊断和治疗尤为重要。家庭血压测量可提高药物治疗依从性和就医咨询率,对于诊断白大衣高血压和隐匿性高血压不可或缺。这种有效性改善了医疗经济性。家庭血压能够检测出药物介导的血压微小变化、内在和外在刺激,并能检测血压的长期变化。因此,家庭血压对于改善医疗实践中高血压的管理以及识别普通人群中的高血压现在已不可或缺。测量程序的标准化可能会提升家庭血压在高血压诊断和治疗实践中的地位。