Rademaker M, Lindsay A, McLaren J A, Padfield P L
Scott Med J. 1987 Feb;32(1):16-9. doi: 10.1177/003693308703200108.
We set out to test the hypothesis that home blood pressure reflects "baseline" pressures measured at a general practitioner's surgery or in a hospital outpatient clinic. Twenty patients detected hypertensive during screening in general practice and 30 patients referred to a hospital hypertension clinic for revision of therapy were studied. All were instructed in the use of an electronic semiautomatic sphygmomanometer and measured blood pressure at home for a three day period. Home monitored blood pressure correctly predicted those patients whose diastolic blood pressure fell to below 95 mmHg by the third clinic visit in approximately 90% of all patients. In addition, in those whose blood pressure was high at home it remained so at the clinic or surgery after three visits. These data suggest that home monitoring of blood pressure may be a helpful alternative to repeated clinic visits before embarking on medical therapy.
家庭血压反映了在全科医生诊所或医院门诊所测量的“基线”血压。对在全科医疗筛查中检测为高血压的20名患者以及被转诊至医院高血压诊所进行治疗调整的30名患者进行了研究。所有患者均接受了使用电子半自动血压计的指导，并在家中测量三天的血压。家庭监测血压能在约90%的患者中正确预测出那些到第三次门诊就诊时舒张压降至95mmHg以下的患者。此外，那些在家中血压较高的患者，在三次就诊后其在诊所或手术时的血压仍然较高。这些数据表明，在开始药物治疗前，家庭血压监测可能是一种有助于替代反复门诊就诊的方法。
