Stahl S M, Kelley C R, Neill P J, Grim C E, Mamlin J
Am J Public Health. 1984 Jul;74(7):704-9. doi: 10.2105/ajph.74.7.704.
This research reports level of blood pressure control and ability to maintain newly discovered hypertensives in a municipal hospital setting by use of family- and self-monitored home blood pressure units. Three hundred ninety-six patients were randomized into family- and self-monitored blood pressure groups and a control group. Findings indicate that the use of either self- or family-read cuffs is effective in the first six months of treatment in lowering blood pressures. The data are suggestive of a beneficial effect of the use of cuffs for up to 18 months; however, with additional time in the study, no differences in the level of blood pressure control could be demonstrated between groups. The use of family-monitored blood pressure cuffs produces a lower drop-out rate than does the use of no cuff. The effect on drop outs is substantial for the first year of treatment, but beyond 12 months, the family-read cuff is also more effective than no cuff in reducing drop outs.
本研究报告了在市级医院环境中，通过使用家庭和自我监测的家用血压计来控制血压的水平以及维持新发现的高血压患者治疗的能力。396名患者被随机分为家庭和自我监测血压组以及对照组。研究结果表明，在治疗的前六个月，使用自我或家庭读取的袖带在降低血压方面是有效的。数据表明使用袖带长达18个月有有益效果；然而，随着研究时间的增加，各组之间在血压控制水平上没有差异。使用家庭监测的血压袖带比不使用袖带产生的脱落率更低。在治疗的第一年，对脱落率的影响很大，但在12个月之后，家庭读取的袖带在减少脱落方面也比不使用袖带更有效。
