在家测量血压以评估高血压患者

Home readings of blood pressure in assessment of hypertensive subjects.

作者信息

Nielsen P E, Myschetzky P, Andersen A R, Andersen G S

出版信息

Acta Med Scand Suppl. 1986;714:147-51. doi: 10.1111/j.0954-6820.1986.tb08984.x.

DOI:10.1111/j.0954-6820.1986.tb08984.x

Abstract

Out-patient clinic blood pressure (OPC-BP) was compared to home blood pressure (Home-BP) measured three times daily during a two week period in 122 consecutively referred hypertensive subjects. A semi-automatic device (TM-101) including a microphone for detection of Korotkoff-sounds, self-deflation of cuff pressure and digital display of blood pressure was used. Mean difference between OPC-BP and Home-BP was systolic +13 mm Hg (range -21 - +100 mg Hg) and diastolic +5 mm Hg (range -27 - +36 mm Hg). Although a significant correlation could be demonstrated between Home-BP and OPC-BP, the inter-individual scatter was pronounced and unpredictable from the hypertensive organ damages. It is argued, that home readings should be used to greater extent in the evaluation of patients with hypertension.

摘要

在122例连续转诊的高血压患者中，比较了门诊血压（OPC-BP）与在两周内每天测量三次的家庭血压（Home-BP）。使用了一种半自动设备（TM-101），该设备包括用于检测柯氏音的麦克风、袖带压力自动放气以及血压数字显示功能。OPC-BP与Home-BP之间的平均差值为收缩压+13 mmHg（范围为-21至+100 mmHg），舒张压+5 mmHg（范围为-27至+36 mmHg）。虽然Home-BP与OPC-BP之间存在显著相关性，但个体间的离散度较大，且无法根据高血压器官损害情况预测。有人认为，在高血压患者的评估中应更多地采用家庭血压读数。