基于在家或医生办公室测量血压的抗高血压治疗:一种随机对照试验
Jan A Staessen1, Elly Den Hond, Hilde Celis
1Study Coordinating Centre, Hypertension and Cardiovascular Rehabilitation Unit, Department of Molecular and Cardiovascular Research, University of Leuven, Leuven, Belgium. jan.staessen@med.kuleuven.ac.be
JAMA
|February 26, 2004
概括
家庭血压 (BP) 监测导致高血压的药物治疗不那么密集,但与办公室BP测量相比,BP控制也较差. 自测有助于识别白袍高血压,但需要进一步的研究.
科学领域:
- 心血管医学 心血管医学
- 临床高血压管理管理
- 基于证据的实践.
背景情况:
- 自动测量血压 (BP) 在临床实践中越来越多地被使用.
- 家庭血压监测对高血压治疗的影响需要进一步研究.
研究的目的:
- 为了比较医生办公室血压测量的有效性与家庭血压测量的有效性,以控制高血压.
- 根据不同的BP监测策略来评估治疗调整.
主要方法:
- 一个盲目的随机受控试验,涉及400名高血压患者超过1年.
- 根据家庭 (n=203) 或办公室 (n=197) 的血压读数,调整了抗高血压药物治疗.
- 结果包括血压水平,治疗强度,左心室质量,症状和成本.
主要成果:
- 使用家庭血压监测的患者更有可能停止服用抗高血压药物 (25.6% vs 11.3%),但最终血压读数较高.
- 在多重药物治疗的进展中没有观察到显著的差异.
- 左心室质量和报告的症状在各组之间相似;家庭BP监测显示成本略低.
结论:
- 与办公室测量相比,家庭BP监测导致治疗不那么密集,成本更低,但BP控制较差.
- 首页 血压监测 帮助识别白袍高血压.
- 支持一个步骤性血压评估策略,包括自我测量和门诊监测,需要对家庭血压目标进行结果研究.
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