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高血压诊断与治疗监测中血压测量的评估(作者译)

[Assessment of blood pressure measurement for the diagnosis and therapeutic monitoring of hypertension (author's transl)].

作者信息

Krönig B

出版信息

MMW Munch Med Wochenschr. 1978 Mar 31;120(13):431-6.

PMID:306032
Abstract

Blood pressure readings are the central parameter in the diagnosis and therapeutic monitoring of arterial hypertension. Frequent measurements are therefore necessary because the blood pressures of healthy people, and in particular of patients with hypertension, are subject to considerable variability. Emotional factors, physical strain and diurnal differences have a modifying effect. Attempts to standardize a single measurement such as has been tried in the determination of the basic blood pressure or the diastolic levels have proved of little relevance for information on the daily blood pressure profile. The frequent determination of a random blood pressure after 2 to 3 minutes rest is a logical alternative. Regular monitoring is almost ideally obtained, especially under antihypertensive drug therapy, by the patient measuring his own blood pressure.

摘要

血压读数是动脉高血压诊断和治疗监测的核心参数。因此,频繁测量是必要的,因为健康人的血压,尤其是高血压患者的血压存在相当大的变异性。情绪因素、身体应激和昼夜差异都有调节作用。试图对单次测量进行标准化,如在基础血压或舒张压水平测定中所尝试的那样,已证明对于了解日常血压情况几乎没有相关性。在休息2至3分钟后频繁测定随机血压是一种合理的替代方法。特别是在抗高血压药物治疗下,通过患者自行测量血压几乎可以理想地实现定期监测。

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