家庭血压监测中国专家共识 - 中国高血压联盟.pdf

《中国医学前沿杂志 （电子版）》2012年第4卷第4期 ● 指南导读 ● 43 家庭血压监测中国专家共识 中国医师协会高血压专业委员会，中国高血压联盟，中华医学会心血管病学分会 摘要 自动的电子血压计正在进入家庭。家庭血压监测已成为血压管理的重要组成部分。近年来，美国、欧 洲与日本相继制定了家庭血压监测指南。我国家庭血压监测的研究工作尚在起步阶段，尚不能完全根 据我国相关研究的结果制定指南。但随着高血压患者家庭血压管理意识的迅速提高，许多家庭不仅已 拥有 自动的电子血压计，而且已在进行家庭血压测量。为了促进家庭血压监测的健康发展，需要对家 庭血压监测进行适当规范，因此，参考国外有关指南并经广泛、深入的讨论，制定本共识文件。就血 压计的选择与校准、血压测量的频率 （次数）与时间 （天数）以及家庭血压的正常值等重要问题提出 了建议。 Abstract Home blood pressure monitoring: a consensus document Writing Committee of the Chinese Hypertension Committee, Chinese Medical Doctors Association. In China, automated blood pressure monitors recently have been available for home use. Home blood pressure monitoring plays a part in the management of hypertension. In the past few years, the American, European and Japanese societies of hypertension published their guidance document for home blood pressure monitoring. In China, there is still limited data on home blood pressure monitoring, which is insuffi cient to form a guidance document on the basis of the Chinese data. However, a proportion of Chinese hypertensive patients are becoming aware of the importance of home blood pressure monitoring, and measure blood pressure at home using automated blood pressure monitors. There is therefore a need of guidance for home blood pressure monitoring. With the reference to the above mentioned guidelines of several other societies and after thorough and comprehensive discussions among a group of Chinese experts on hypertension, this consensus document was then developed to put forward recommendations on the selection and calibration of blood pressure measuring devices, the number of readings and days of blood pressure measurement, and the diagnostic threshold of home blood pressure. 1　前言 患者治疗率明显升高 （＋36.3%) ，但接受治疗高 [