为了比较慢性病患者的不同血压测量技术
B Sai Surya Teja1, K M Srinath2, R Hareeth Reddy3
1Department of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Annals of African medicine
|March 6, 2026
概括
自动化办公室血压 (AOBP) 是 ambulatory血压监测 (ABPM) 的可靠替代方案,用于评估慢性病 (CKD) 患者的高血压. 手动办公室血压 (MOBP) 过高估计读数,可能导致误诊.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 临床测量 临床测量
背景情况:
- 精确的血压 (BP) 监测对于治疗慢性病 (CKD) 患者至关重要.
- 慢性病的高血压与心血管风险增加和功能障碍有关.
- 门诊血压监测 (ABPM) 是黄金标准,但往往不切实际.
研究的目的:
- 在CKD患者中比较手动办公室BP (MOBP),自动办公室BP (AOBP) 和ABPM的诊断准确性和临床实用性.
- 评估不同血压测量方法在识别失控高血压,白衣高血压 (WCH) 和掩盖高血压 (MHT) 的有效性.
主要方法:
- 一项涉及120名CKD患者的横截面观察性研究.
- 在24小时内使用MOBP,AOBP和ABPM进行血压测量.
- 对比分析包括血压值,不受控制的高血压率以及使用统计测试和ROC分析识别WCH/MHT.
主要成果:
- AOBP测量与ABPM (P > 0.4) 密切结合.
- MOBP的读数明显高于ABPM (P <0.05).
- 与ABPM相比,AOBP显示出高灵敏度 (95.8%) 和特异性 (94.4%),无控制高血压的发病率相似.
结论:
- 自动化办公室BP (AOBP) 作为可靠的ABPM替代品,用于CKD中的BP评估.
- 手动办公室BP (MOBP) 倾向于高估BP,冒着错误分类高血压的风险.
- 在资源有限的环境中,AOBP对于精确的高血压管理在CKD中特别有价值.
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