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产后家庭血压监测:一个系统的审查
Dale W Steele1, Gaelen P Adam, Ian J Saldanha
1Center for Evidence Synthesis in Health, Department of Health Services, Policy, and Practice, and the Department of Epidemiology, Brown University School of Public Health, and the Department of Emergency Medicine, the Department of Pediatrics, and Department of Medicine, and the Department of Obstetrics and Gynecology, Brown University Warren Alpert Medical School, Providence, Rhode Island; the Center for Clinical Trials and Evidence Synthesis, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; the Center for Outcomes Research and Evaluation, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut; the Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; and the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
产后家庭血压监测提高了血压测量的准确性,并可能减少在护理中的种族差异. 需要更多的研究来证实它对严重的孕产妇结果的影响.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妊娠的高血压疾病需要有效的产后监测.
- 基于临床的随访可能在血压检测和可访问性方面存在局限性.
- 在产后高血压管理中存在种族差异.
研究的目的:
- 评估产后家庭血压 (BP) 监测的有效性.
- 为了比较家庭血压监测与基于临床的随访.
- 评估其他家庭BP监测方案.
主要方法:
- 随机对照试验 (RCT),非随机比较研究和单臂研究的系统审查.
- 搜索了多个数据库 (Medline,Cochrane,EMBASE,CINAHL,ClinicalTrials.gov) 截至 2022 年 12 月.
- 包括评估产后家庭血压监测长达1年的研究.
主要成果:
- 家庭血压监测增加了在产后早期血压测量确定的可能性.
- 家庭血压监测与减少了与高血压相关的非计划性住院病例有关.
- 基于办公室的后续调查显示,在家庭监测下,BP确定的种族差异减少了约50%.
结论:
- 首页 血压监测可能会提高血压的确定性,以便在产后患者中早期检测高血压.
- 可能有助于缓解在办公室后续观察到的种族差异.
- 目前没有足够的证据来证实减少严重的孕产妇发病率/死亡率或临床结果差异.
相关概念视频
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Errors occurring during blood pressure monitoring
Several factors...
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement

