我们应该在办公室里进行多少血压测量?
Gülsüm Özkan1, Şükrü Ulusoy2, Rahmi Yılmaz3
1Department of Nephrology, School of Medicine, Tekirdağ Namık Kemal University, Tekirdağ, Türkiye.
Journal of clinical hypertension (Greenwich, Conn.)
|April 22, 2024
概括
为了准确诊断高血压,建议在办公室进行三次血压 (BP) 测量. 平均第二个和第三个血压读数是最好的系统性测量,而多个读数不包括第一个是建议的透气性测量.
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:
- 在诊断高血压的最佳数量办公室血压 (BP) 测量方面缺乏共识.
- 目前的指导方针各不相同,导致患者评估中的潜在不一致.
研究的目的:
- 评估不同多重办公室平均血压测量与24小时门诊血压监测 (ABPM) 的兼容性.
- 为高血压诊断中的办公室BP测量协议提供基于证据的建议.
主要方法:
- 卡帕多西亚高血压队列数据的后期分析.
- 检查了来自207名患者的1158个办公室血压测量结果.
- 五种不同的平均方法 (G1-G5) 与24小时的ABPM数据进行比较.
主要成果:
- 与白天ABPM相比,静脉血压 (SBP) 仅与第一和第二次测量 (G1) 的平均值有显著差异.
- 在所有办公室测量组中,腹筋血压 (DBP) 仍然高于白天的ABPM DBP.
- 随着测量次数的增加,Office DBP值更接近白天的ABPM DBP.
结论:
- 建议在诊断高血压时进行三次办公室血压测量.
- 建议为SBP计算第二和第三办公室BP测量的平均值.
- 倡导将多个办公室DBP测量的平均值,排除第一个,以更好地与ABPM保持一致.
- 强调标准化血压测量技术对于准确的高血压诊断的重要性.
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