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題 名 | 居家血壓與攜帶型自動血壓監測之臨床應用及血壓評估=Home Blood Pressure and Ambulatory Blood Pressure Monitoring: Clinical Applications and Blood Pressure Assessment |
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作 者 | 黃耀星; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 3:2 2007.09[民96.09] |
頁 次 | 頁57-68 |
分類號 | 415.382 |
關鍵詞 | 居家血壓監測; 攜帶型自動血壓監測; 血壓之日夜變動; 白衣性高血壓; 夜間血壓下降; 夜間血壓不降; Home blood pressure monitoring; Ambulatory blood pressure monitoring; Circardian rhythm of blood pressure; White coat hypertension; Dipper; Non-dipper; |
語 文 | 中文(Chinese) |
中文摘要 | 居家血壓(Home Blood Pressure, HBP)之測量可促進高血壓病人服藥順從性並可用來探討降壓劑之藥效;也可用來診斷白衣性高血壓、早晨及逆白衣性高血壓。在2003年日本高血壓學會出版之居家血壓指引,可供國人參考。簡言之,居家血壓之量法如下:使用經確認之壓脈帶-震盪法之裝置,居家量壓需在早晨起床後1小時內,未服藥、未吃早餐,小便後,坐姿1-2分鐘後量血壓。夜間,在睡前,坐姿1-2分鐘後量血壓。依據過去研究證實對預測高血壓病人預後,居家血壓比診間血壓為佳。由於對居家血壓之血壓值,日本與西方國家之閾值有些差異,因此2004年日本高血壓治療指引認為「考慮到與世界共同性,規範居家血壓如大於135/85mmHg或更高確定為高血壓,需要治療。如小於125/80mmHg為正常血壓」。過去30年來,攜帶性自動血壓監測(Ambulatory BP Monitoring, ABPM)已被廣泛使用在高血壓研究及臨床應用。其理由為因診間量的血壓只量到1天24小時的一小部分,而血壓的變動性大,受白衣性效果等之影響,容易出現偏差。故診間的血壓難以代表病人真正的血壓。攜帶性自動血壓監測是研究懷疑有高血壓、白衣性高血壓(White Coat Hypertension, WCH)、逆白衣性高血壓及早晨高血壓不可或缺的儀器。由此延伸出來的一些議題,如夜間高血壓,夜間血壓下降、不降,夜間血壓過度下降、及夜間血壓過度不降或不降反升等情況之區分須靠自動血壓監測及HBPM。因此,居家血壓及24小時自動血壓值,在臨床上宜多加利用。現在,自動血壓監測對最初診斷高血壓特別有用,而居家血壓則用來探討診間外之血壓變動情形。本綜論回顧使用HBPM及ABPM在臨床上之應用,高血壓之研究及對血壓探討之基礎。並將作者等過去10年來,利用ABPM探討各種降壓劑對國人輕中度高血壓之降壓效果供國人參考。 |
英文摘要 | Self-measurements of the blood pressure (BP) at home (HBPM) are useful for improving the compliance of the patients to the treatment and evaluating the efficacy of antihypertensive treatment. It is useful for the diagnosis of white-coat hypertension, morning and masked hypertension. The Japanese Society of Hypertension (JSH) Guidelines for Self-Monitoring of BP at home have been published in 2003. Briefly, an upper arm-cuff-oscilliometric devices should be used for HBPM. Measurement within 1 hour after getting up, after urination, before taken breakfast; after rest in seated position for 1-2 min, before taking antihypertensive drugs is recommended in the morning, and measurement before going to bed and after seated position for 1-2 min is recommended in the evening. The HBP has been reported to have a better predictive value for prognosis of hypertension than casual or clinic BP. Due to the difference of the criteria for hypertension of the HBP between Japan and Western Counteries, the JSH Guidelines for Self-Monitoring of Blood Pressure at Home Stated ”Home BP 135/80mmHg or higher should be diagnosed as hypertension, and those 135/85 mmHg or higher to be definite hypertension. In addition, the HBP< 125/80 mmHg should be regarded as normal.” Over the past 30 years, ABPM has been in use in hypertension research and clinical practice. ABPM is use more frequently in research and clinical practice due to, at least in part, the limitations of office or casual BP measurement. ABPM is also becoming an indispensable investigation tool for patients with suspected hypertension, particularly useful in the identification of WCH, masked hypertension and morning hypertension. Nocturnal hypertension, dipping, and nondipping status, extreme dippers, extreme nondippers and risers are newly recognized conditations with identification dependent on the use of ABPM. Thus, the results of HBPM and/or 24-hr ABPM should be refered as clinical practice. Currently, ABPM is particularly useful for the initial diagnosis of hypertension, and HBPM for evaluating changes of BP out-of-office. This article reviews the basis for the use of HBPM and ABPM in clinical practice, hypertension research and blood pressure evaluation. |
本系統中英文摘要資訊取自各篇刊載內容。