Interest of home blood pressure measurements (HBPM) to establish degree of hypertensive control
Interest of home blood pressure measurements (HBPM) to establish degree of hypertensive control
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DOI：
10.1080/08037050310015476
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发表时间：
2003-07-01
期刊：
影响因子：
1.8
通讯作者：
Merino, J
中科院分区：
文献类型：
--
作者：
Llisterri, JL;Gil, VF;Merino, J
目的：建立家庭血压测量（HBPM）在原发性高血压患者治疗随访中的有效性和临床价值，以排除或确认在医生办公室用水银血压计获得的血压控制不良。材料与方法：进行了观察性横断面研究，以验证HBPM治疗的高血压患者控制不佳的办公室为基础的临时血压测量。连续2天进行测量，每天读取6个读数。为此，使用ABPM作为参考方法，绘制了2 X 2表格以验证HBPM。计算敏感度（S）、特异度（Sp）、阳性概率商（+PQ）和阴性概率商（-PQ）。研究人群（n = 149）是通过对Vallada健康中心的高血压患者进行连续抽样而选择的。只有124名患者可以接受评估。结果：HBPM获得的值为：S 97.3%（95% CI 90.4-99.7%），Sp 62.7%（48.1-75.9%），+PQ 2.61（1.82-3.73）和-PQ 0.04（0.01-0.71）。结论：家庭血压监测是ABPM的一种有用的替代方法，可以排除办公室高血压患者控制不佳的情况，但不能证实这一点。
Aims: To establish the validity and clinical value of home blood pressure measurements (HBPM) in the treatment follow-up of patients with essential hypertension to rule out or to confirm poor control of blood pressure obtained in the doctor's office with a mercury sphygmomanometer. Material and methods: Observational, cross-sectional study was carried out to validate HBPM in treated hypertensive patients poorly controlled by office-based casual blood pressure measurements. Measurements were made on 2 consecutive days with six readings taken per day. To do this, 2 X 2 tables were drawn up to validate the HBPM using ABPM as the reference method. Sensitivity (S), specificity (Sp), positive probability quotient (+PQ) and negative probability quotient (-PQ) were calculated. The study population (n = 149) was selected by consecutive sampling of the hypertensive patients seen in the Vallada Health Centre. Only 124 patients could be evaluated. Results: Values obtained with HBPM were: S 97.3% (95% CI 90.4-99.7%), Sp 62.7% (48.1-75.9%), +PQ 2.61 (1.82-3.73) and -PQ 0.04 (0.01-0.71). Conclusions: Home monitoring of blood pressure is a useful alternative to ABPM to rule out office-based poor control of hypertensive patients, but not to confirm it.