2025年泰国高血压学会成人动态血压监测指南

2025 Thai Hypertension Society Guidance for Ambulatory Blood Pressure Monitoring in Adults.

作者信息

Wanthong Sirisawat, Chattranukulchai Pairoj, Chotruangnapa Chavalit, Kotruchin Praew, Roubsanthisuk Weranuj, Vathesatogkit Prin, Sukonthasarn Apichard

机构信息

Division of Hypertension, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Division of Cardiovascular Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

出版信息

J Clin Hypertens (Greenwich). 2025 Sep;27(9):e70136. doi: 10.1111/jch.70136.

DOI:10.1111/jch.70136

PMID:40958601

Abstract

More than 40 years of research has consolidated ambulatory blood pressure monitoring (ABPM) as a validated choice in out-of-office blood pressure (BP) measurement methods other than home BP measurement (HBPM). ABPM can evaluate 24-h BP and BP variability. ABPM improves the diagnosis of hypertension phenotypes such as white coat hypertension, masked hypertension, dipper or non-dipper. BP values derived from ABPM had better prognostic values than clinic BP. Ambulatory BP devices have been available in Thailand for several years. This recommendation of the Thai Hypertension Society for ABPM was designed to apply this practical knowledge, based on our limited health resource circumstances, to help guide clinical practice and improve the treatment and control of hypertension among the adult Thai population.

摘要

四十多年的研究巩固了动态血压监测（ABPM）作为除家庭血压测量（HBPM）之外的一种经过验证的非诊室血压测量方法的地位。ABPM可以评估24小时血压及血压变异性。ABPM改善了诸如白大衣高血压、隐匿性高血压、杓型或非杓型等高血压表型的诊断。源自ABPM的血压值比诊室血压具有更好的预后价值。动态血压设备在泰国已上市数年。泰国高血压学会对ABPM的这项建议旨在基于我们有限的卫生资源情况应用这一实践知识，以帮助指导临床实践并改善泰国成年人群中高血压的治疗与控制。