Weber E M, DiPette D J
Nurse Pract. 1987 Feb;12(2):30, 34-40, 45-6.
Knowing a patient's continuous 24-hour blood pressure measurements can be useful to the nurse practitioner in evaluating the hypertensive patient. Recent studies have demonstrated end-organ damage to have a higher degree of correlation with 24-hour blood pressure readings than with more periodic blood pressure readings. Previously, 24-hour ambulatory blood pressure determinations were evaluated primarily in research settings. The ability to obtain these readings for diagnostic information applicable to clinical situations is becoming readily available. The historical background leading to the development of the ambulatory blood pressure monitors for clinical use is reviewed. The indications for obtaining 24-hour ambulatory pressures, interpretation of specific graphs and patient outcome are explained.
了解患者连续24小时的血压测量值，对于执业护士评估高血压患者可能会有所帮助。最近的研究表明，与更定期的血压读数相比，终末器官损害与24小时血压读数的相关性更高。以前，24小时动态血压测定主要在研究环境中进行评估。获取适用于临床情况的诊断信息的这些读数的能力正变得唾手可得。本文回顾了临床用动态血压监测仪发展的历史背景。解释了获取24小时动态血压的适应症、特定图表的解读以及患者的预后情况。
