Predictive value of home blood pressure measurement in relation to stroke morbidity: a population-based pilot study in Ohasama, Japan.
Predictive value of home blood pressure measurement in relation to stroke morbidity: a population-based pilot study in Ohasama, Japan.
复制标题
家庭血压测量与中风发病率的预测价值：日本大笠间的一项基于人群的试点研究。
作者：
M. Sakuma;Y. Imai;I. Tsuji;K. Nagai;T. Ohkubo;N. Watanabe;H. Sakuma;H. Satoh;S. Hisamichi
我们调查了家庭血压测量在确定中风风险方面的效用。我们还分析了家庭血压与中风发病率之间的关系。家庭血压和筛查血压测量来自日本农村社区的1,789名居民（40岁或以上）。在家里用半自动装置测量血压。每位受试者的测量平均值（+/- sd）为23.0 +/- 7.5次。无卒中史且未接受高血压药物治疗的受试者（n = 1256）进行了4.4±2.1年的前瞻性随访。根据受试者的基线血压将其细分为五分位数。采用Cox比例风险回归模型对基线血压与首次卒中发生率之间的关系进行了检验，并对年龄和性别进行了调整。家中收缩压（117-123 mmHg）的第三组和家中舒张压（66-70 mmHg）的第二组卒中发病率最低。家庭收缩压（>或= 133 mmHg）和舒张压（>或= 81 mmHg）处于第五分位数的受试者卒中发病率显著增加。家庭收缩压第一和第二分位数的受试者以及家庭舒张压第一分位数的受试者与最低风险组的受试者相比，风险倾向于增加，尽管这种增加没有统计学意义，这表明两种可能性：j型关系趋势或家庭血压水平低于123/70 mmHg的受试者首次中风的风险没有降低。在筛查血压时没有观察到这种关系。我们的结论是，家庭血压测量可以提供额外的预后信息，以获得在医疗环境中的血压测量。
We investigated the utility of home blood pressure measurements for determining the risk of stroke. We also analyzed the relationship between home blood pressure and the incidence of stroke. Home blood pressure and screening blood pressure measurements were obtained from 1,789 residents (aged 40 yr or older) of a rural Japanese community. Blood pressure was measured at home with a semiautomatic device. A mean (+/-SD) of 23.0 +/- 7.5 measurements were made for each subject. Subjects without a history of stroke and who were not receiving medication for hypertension (n = 1,256) were prospectively followed up for 4.4 +/- 2.1 yr. Subjects were subdivided into quintiles according to their baseline blood pressure. The association between the baseline blood pressure and the incidence of the first-ever stroke was examined with the Cox proportional hazards regression model, adjusted for age and sex. The lowest risk of stroke morbidity occurred in the subjects in the third quintile for home systolic blood pressure (117-123 mmHg) and in those in the second quintile for home diastolic blood pressure (66-70 mmHg). The subjects in the fifth quintiles for home systolic (> or = 133 mmHg) and diastolic blood pressure (> or = 81 mmHg) had a significantly increased risk of stroke morbidity. The subjects in the first and the second quintiles for home systolic blood pressure and those in the first quintile for home diastolic blood pressure tended to have an increased risk as compared with subjects in the lowest risk groups, although this increase was not statistically significant, indicating two possibilities: a trend toward a J-shaped relationship or no-decrease in risk of the first-ever stroke in subjects with home blood pressure level less than 123/70 mmHg. This relationship was not observed for screening blood pressure. We conclude that home blood pressure measurements can provide additional prognostic information to that obtained from blood pressure measurement in a medical environment.
家庭血压和性别对血压家族聚集估计的影响。
DOI：
10.1161/01.hyp.20.3.314
发表时间：
1992
期刊：
Hypertension (Dallas, Tex. : 1979)
影响因子：
--
作者：
Jamerson,KA;Schork,N;Julius,S
通讯作者：
Julius,S
正常血压和高血压患者的家庭血压、诊所血压和动态血压差异的一些影响。
DOI：
--
发表时间：
1989
期刊：
Journal of hypertension. Supplement : official journal of the International Society of Hypertension
影响因子：
--
作者：
Pickering,TG;James,GD
通讯作者：
James,GD