家庭血压远程监测加上对血压控制的额外支持的影响:一项随机临床试验
Wen Wen Meng1, Yong Yi Bai2, Li Yan3
1The Northern Medical District, Chinese PLA General Hospital, Beijing 100094, China.
Biomedical and environmental sciences : BES
|July 10, 2023
概括
家庭血压远程监测与额外的支持显著改善了中国的高血压管理. 这种方法导致更好的血压控制和坚持与通常的护理相比.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 目前关于家庭血压远程监测 (HBPT) 控制高血压的现有证据仅限于发达国家.
- 在中国等多种人群中,HBPT的有效性需要进一步研究.
研究的目的:
- 评估HBPT结合患者教育和远程临床医生管理在改善中国人口血压控制方面的有效性.
- 为了比较HBPT加支持与常规护理 (UC) 的结果.
主要方法:
- 一个单中心,随机对照试验在中国北京进行,涉及190名年龄在30-75岁的高血压患者.
- 参与者被随机分为两个组:HBPT加支持或UC,持续12周.
- 主要终点包括血压降低和达到目标血压的患者比例.
主要成果:
- 与UC组相比,接受HBPT加支持的患者表现出平均门诊血压的更大降低.
- 在HBPT加支持组的患者中,显著更高的比例达到目标血压,并保持低血压模式.
- HBPT加支持组也表现出较低的血压变化和更高的药物坚持.
结论:
- 额外支持的HBPT显著提高了中国人口的血压降低,控制和坚持.
- 远程医疗,特别是HBPT,有可能成为初级保健高血压管理的基础要素.
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