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家庭与办公室血压监测:一项欧洲高血压多中心研究

Home versus office monitoring of blood pressure: a European multicentre study of high blood pressure.

作者信息

Clement D L

机构信息

Department of Cardiology, University Hospital, Ghent, Belgium.

出版信息

J Hypertens Suppl. 1989 May;7(3):S49-51.

PMID:2668464
Abstract

A prospective multicentre study has been set up to examine the following primary questions: (1) Is there a better correlation between blood pressure and mortality, morbidity or organ damage when blood pressure is measured by ambulatory recordings rather than by the usual office method? (2) Is there a difference in the rates of mortality, morbidity and organ damage when treatment is guided by ambulatory values instead of by office values? The aim is to study 2000 patients with primary hypertension, aged 35-70 years, for 5 years. Ambulatory recordings will be made every 6 months. Treatment will be based at random on either office or ambulatory blood pressure readings at each centre.

摘要

一项前瞻性多中心研究已经启动,以探讨以下主要问题:(1)通过动态血压记录测量血压时,与采用常规诊室测量方法相比,血压与死亡率、发病率或器官损害之间是否存在更好的相关性?(2)以动态血压值而非诊室血压值为指导进行治疗时,死亡率、发病率和器官损害的发生率是否存在差异?目标是对2000例年龄在35至70岁之间的原发性高血压患者进行为期5年的研究。每6个月进行一次动态血压记录。每个中心将随机根据诊室或动态血压读数进行治疗。

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Home versus office monitoring of blood pressure: a European multicentre study of high blood pressure.家庭与办公室血压监测:一项欧洲高血压多中心研究
J Hypertens Suppl. 1989 May;7(3):S49-51.
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Office versus ambulatory recordings of blood pressure (OvA): a European multicenter study. The Steering Committee.诊室血压与动态血压记录对比研究(OvA):一项欧洲多中心研究。指导委员会
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Ambulatory blood pressure monitoring in hypertension.高血压的动态血压监测
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Value of patient-recorded home blood pressure series in distinguishing sustained from office hypertension: effects on diagnosis and treatment of mild hypertension. Bath District Hypertension Study Group.患者记录的家庭血压系列在区分持续性高血压与诊室高血压中的价值:对轻度高血压诊断和治疗的影响。巴斯区高血压研究小组。
J Hum Hypertens. 1990 Jun;4 Suppl 2:9-13.
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Level of blood pressure control in a hypertensive population when measurements are performed outside the clinical setting.在临床环境之外进行测量时高血压人群的血压控制水平。
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ESH-ESC guidelines for the management of hypertension.欧洲高血压学会(ESH)和欧洲心脏病学会(ESC)高血压管理指南
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Assessment of patients with office hypertension by 24-hour noninvasive ambulatory blood pressure monitoring.通过24小时无创动态血压监测评估诊室高血压患者。
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Clinical use of 24-hour ambulatory blood pressure monitoring.24小时动态血压监测的临床应用。
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Home blood pressure is as reliable as ambulatory blood pressure in predicting target-organ damage in hypertension.在家测量血压在预测高血压患者的靶器官损害方面与动态血压监测同样可靠。
Am J Hypertens. 2007 Jun;20(6):616-21. doi: 10.1016/j.amjhyper.2006.12.013.
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Comparisons of ambulatory blood pressure monitoring and repeated office measurements in primary care.基层医疗中动态血压监测与重复诊室测量的比较。
J Fam Pract. 1997 Nov;45(5):426-33.

引用本文的文献

1
Reference data for ambulatory blood pressure monitoring: what results are equivalent to the established limits of office blood pressure?
Klin Wochenschr. 1990 Jul 17;68(14):723-7. doi: 10.1007/BF01647580.
2
Decision to treat mild hypertension after assessment by ambulatory monitoring and World Health Organisation recommendations.根据动态血压监测评估结果及世界卫生组织的建议决定是否治疗轻度高血压。
BMJ. 1992 Oct 31;305(6861):1062-6. doi: 10.1136/bmj.305.6861.1062.