Naef R W, Perry K G, Magann E F, McLaughlin B N, Chauhan S P, Morrison J C
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 39216-4505, USA.
J Perinatol. 1998 May-Jun;18(3):226-9.
To determine whether automated measurement of blood pressure and pulse in a home setting can be easily accomplished by pregnant women with chronic hypertension.
In this prospective investigation, seven women with chronic hypertension complicating pregnancy recorded their blood pressure at home twice a day. These data were offloaded once daily into a computer at a remote site, and a computerized printout of these data was received by the physician.
The patients participated in the study for 12.2 +/- 5.8 weeks (range 4 to 18 weeks) and were between 23 and 42 weeks' gestation. Average mean arterial pressure in the home was 102 +/- 10 mm Hg, and average pulse was 81 +/- 11 beats per minute. In the clinic, the values were 112 +/- 13 mm Hg and 90 +/- 30 beats per minute (p < 0.05). Each patient was easily taught how to use the machine.
The home blood pressure monitoring device was easy to use and correlated well with values recorded by health professionals for this limited number of subjects. It was particularly helpful to patients (n = 5) who lived long distances (more than 60 miles) from the clinic and to women who needed adjustments of antihypertensive medication.
确定患有慢性高血压的孕妇在家庭环境中能否轻松完成血压和脉搏的自动测量。
在这项前瞻性调查中，7名患有慢性高血压合并妊娠的女性每天在家中测量两次血压。这些数据每天一次上传到远程站点的计算机中，医生会收到这些数据的电脑打印件。
患者参与研究的时间为12.2±5.8周（范围4至18周），妊娠周数在23至42周之间。在家中平均动脉压为102±10毫米汞柱，平均脉搏为每分钟81±11次。在诊所，相应的值分别为112±13毫米汞柱和每分钟90±30次（p<0.05）。每位患者都很容易学会如何使用该仪器。
家庭血压监测设备易于使用，对于这有限数量的受试者，其与卫生专业人员记录的值相关性良好。对于居住在距离诊所较远（超过60英里）的患者（n = 5）以及需要调整抗高血压药物的女性尤其有帮助。
