Cihák R, Widimský J
Cas Lek Cesk. 1989 Nov 10;128(46):1456-60.
Twenty-four hour ambulatory monitoring of the blood pressure (BP) is a new non-invasive examination method which makes it possible to follow up the BP in the patients' environment--at work, at home during sleep. Casual assessment of BP in the surgery causes in some patients an alarm reaction to the assessment, the so-called "white coat phenomenon", and thus frequently does not reflect the considerable variability of BP associated with physical activity and changes of the psychic state in the course of the day. Monitoring of the BP is an important part of investigations comparing the action of different antihypertensive drugs, it is, however, also helpful in clinical practice. It makes possible a more satisfactory evaluation, in particular in patients with mild hypertension, and frequently also more accurate assessment of the diagnosis. In some patients where despite treatment higher BP readings persist, monitoring of the BP makes it possible to differentiate patients with truly resistant or inadequately treated hypertension from those who have substantially higher BP readings in the surgery than in the course of the day.
24小时动态血压监测是一种新的无创检查方法，它能够在患者所处环境（工作时、在家睡眠时）中跟踪血压情况。在诊室偶然测量血压会使一些患者对测量产生警觉反应，即所谓的“白大衣现象”，因此常常无法反映出与身体活动及一天中精神状态变化相关的血压显著变异性。血压监测是比较不同降压药作用的研究中的重要组成部分，然而，它在临床实践中也很有帮助。它能实现更令人满意的评估，尤其是对于轻度高血压患者，而且常常能更准确地评估诊断。在一些尽管接受治疗但血压读数仍持续较高的患者中，血压监测能够区分真正难治性或治疗不充分的高血压患者与那些在诊室血压读数比日常明显更高的患者。
