使用15分钟连续血压作为测量单个血压的替代方案
Ann M Philbrick1, Caroline S Carlin2, Ila M Harris2
1University of Minnesota, College of Pharmacy.
Innovations in pharmacy
|March 18, 2024
概括
十五分钟无人监督的办公室血压测量 (OBP-15) 为较长的协议提供了切实可行的替代方案. 这种方法使得血压读数降低,实现血压控制的可能性更高.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 临床测量 临床测量
背景情况:
- 办公室血压 (BP) 测量是标准的,但可能会受到患者焦虑的影响.
- 30分钟办公室血压 (OBP-30) 是一个替代方案,但不切实际.
- 门诊血压监测 (ABPM) 是有效的,但昂贵且不那么方便.
研究的目的:
- 为了评估15分钟无人监督的办公室血压测量 (OBP-15) 的可行性和有效性.
- 将OBP-15读数与基线血压测量进行比较,以预测高血压控制.
- 通过使用OBP-15.5来评估人口群体对血压控制概率的差异.
主要方法:
- 67名自称患有高血压的成年人参与了这项研究.
- 血压在基线测量,然后每5分钟测量15分钟.
- 最后三个OBP-15读数的平均值与初始基线读数进行了比较.
主要成果:
- 从基线到OBP-15.5观察到缩 (4.2分) 和腹缩 (2.8分) 血压的显著下降.
- 实现血压控制的概率从基线时的71.6%增加到OBP-15的78.0% (p=0.011).
- 与白人个人和女性相比,土著或有色人种和男性的血压控制概率的改善分别显著地更大.
结论:
- 十五分钟无人看护的办公室血压 (OBP-15) 是评估血压的方便和有效方法.
- 与单个基线读数相比,OBP-15提供了较低的血压读数和更高的高血压控制概率.
- 这种方法可以在特定的人口群体中更好地检测血压控制.
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