Guidelines for the use of self-blood pressure monitoring: a summary report of the first international consensus conference
Guidelines for the use of self-blood pressure monitoring: a summary report of the first international consensus conference
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DOI：
10.1097/00004872-200018050-00001
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发表时间：
2000-05-01
影响因子：
4.9
通讯作者：
Zanchetti, A
中科院分区：
文献类型：
--
作者：
Asmar, R;Zanchetti, A
此外，目前的指南是在测量血压的方法的关键时刻提出的。事实上，在过去十年中，我们在血压测量的方法学方面取得了非凡的进步和发展，这可能与不同的原因有关：所谓的传统汞血压计的使用可能受到限制，汞因其毒性在不久的将来被禁止用于临床;计算机处理、微处理器及其小型化的非凡发展，这使得它们能够集成到合适的设备中;官方标准的发布，定义了非侵入式血压计的一般和具体要求，以及最近所有在欧洲销售的医疗设备必须获得EC认证的义务。这一显著发展的结果之一是自动化设备的可用性，这些设备不仅可以测量不同动脉部位的血压，还可以存储测量结果，从而提供更好的血压测量记录。目前的指南也是在预防心血管疾病的关键时刻发布的。事实上，众所周知，患者积极参与治疗过程，大大促进了慢性疾病（如高血压）的成功管理。这种影响治疗依从性的个人参与通常通过患者教育和有关其疾病的信息获得。在这方面，不同的心血管预防公共卫生方案正在改变从业人员的作用，使其成为向患者提供信息和教育的人，而患者应积极参与其保健管理。这些健康管理变化的结果是用于自我测量的电子血压测量设备的销售持续增长，这种增长在很大程度上与任何医疗影响无关。尽管大量使用selfBPM，但由于医生和患者缺乏足够的培训和信息，几乎从未根据公认的协议和指南进行测量。因此，需要为医生和其他保健提供者制定准则、提供信息和培训，并制定信息和病人培训方案。
Moreover, the present guidelines come at a critically important time for the methods of measuring blood pressure. In fact, we have experienced an extraordinary advance and development of the methodological aspects of blood pressure measurements over the last decade which may be related to different reasons: the possibility that the use of the so-called classic mercury sphygmomanometer is restricted and mercury banned from clinical use in the near future because of its toxicity; the extraordinary development of computer processing, microprocessors and their miniaturization which allows their integration in suitable devices; the publication of official standards which define the general and specific requirements for non-invasive sphygmomanometers, and the recent obligation to obtain EC certification for all marketable medical equipment in Europe. One of the consequences of this remarkable development is the availability of automated devices, which not only measure blood pressure at different arterial sites, but also allow measurements to be stored, thus providing a better documentation of blood pressure measurements over time.The present guidelines also come at a critically important time for the prevention of cardiovascular disorders. In fact, it is well established that successful management of chronic disease, such as hypertension, is considerably facilitated by the active involvement of the patient in his treatment procedure. This personal involvement, which influences the compliance to the treatment, is usually obtained by patient education and information about his/her disease. In this regard, the different public health programmes of cardiovascular prevention are modifying the role of practitioners to become providers of information and education to the patient who should become an active participant in his/her health care management. The result of these changes in health management is the continuing increase of the sale of electronic blood pressure measuring devices designed for self-measurement, an increase that is largely independent of any medical influence. Despite the large use of selfBPM, measurements are almost never performed according to accepted protocols and guidelines, because of inadequate training and lack of information for both doctors and patients. Therefore, there is a need for guidelines, information and training of doctors and other healthcare providers as well as information and patient training programmes.