成年人高血压查:美国预防服务工作组重申建议声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|April 27, 2021
概括
对于18岁及以上的成年人来说,高血压查具有显著的健康益处. 美国预防服务特别工作组建议定期检查血压和办公室外测量以确认.
科学领域:
- 心血管医学
- 预防健康
- 临床实践指南
背景情况:
- 美国近一半的成年人患有高血压,
- 这是门诊诊所最常见的诊断.
- 高血压显著增加心力衰竭,心脏病发作,中风和病的风险.
研究的目的:
- 更新对高血压查的建议.
- 评估查的好处和危害.
- 评估血压测量的准确性,以进行查和确认.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 重新确认审议过程.
- 评估办公室和办公室外血压测量的准确性.
主要成果:
- 在成年人中对高血压的查显示出显著的净益处.
- 办公室血压测量是准确的初始查.
- 建议进行非临床测量以确认诊断.
结论:
- 美国高血压诊断局建议所有18岁及以上的成年人进行例行高血压查.
- 在开始治疗之前,建议通过室外测量确认诊断.
- 这项建议具有很高的净收益的确定性.
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