Japanese society of hypertension (JSH) guidelines for self-monitoring of blood pressure at home
Japanese society of hypertension (JSH) guidelines for self-monitoring of blood pressure at home
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DOI：
10.1291/hypres.26.771
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发表时间：
2003-10-01
影响因子：
5.4
通讯作者：
Fukiyama, K
中科院分区：
文献类型：
--
作者：
Imai, Y;Otsuka, K;Fukiyama, K
家庭血压（BP）测量是必不可少的高血压管理在医疗实践中的改善，以及为高血压的认识，在人口。日本高血压学会的家庭自我血压监测测量程序指南制定工作组已经制定了家庭血压测量的所有技术和程序的标准。建议如下。建议：1）基于袖带血压测量方法的袖带装置应用于家庭血压测量，该方法已被正式验证，其准确性已在每个人身上得到证实。2)血压测量应在上臂进行，不应使用指套式和腕式血压测量仪。3)家用血压测量设备应符合美国医疗器械协会（AAMI）标准和英国高血压协会（BHS）指南。此外，每个个体通过听诊法测量的BP与使用器械测量的BP之间的差异应在5 mmHg以内。家用测量设备应在使用前进行验证，并在使用过程中定期进行验证。4)在以下情况下应监测家庭血压。早晨测量应在醒来后1小时内、排尿后、休息1至2分钟后坐着、服药前和早餐前进行。晚上测量应在睡前进行，休息1 - 2分钟后坐着。5)家庭血压应在早上和晚上至少测量一次。6)所有的家庭血压测量都应该记录下来，不加选择，连同日期、时间和脉搏率。使用带有打印机或集成电路存储器的设备有助于避免选择偏差。7)早晚家庭血压应分别取一定时间的平均值。每次测量的第一次应用于总计。8)家庭血压值在一定时期内的平均值在135/80 mmHg及以上时指示高血压，在135/85 mmHg及以上时确定高血压。正常血压定义为低于125/80 mmHg，明确正常血压定义为低于125/75 mmHg。基于这些指南的家庭血压测量可以被认为是临床决策的适当工具，希望这些指南将有助于减少混乱，并确认家庭血压测量在临床实践中的地位。
Home blood pressure (BP) measurements are indispensable for the improvement of hypertension management in medical practice as well as for the recognition of hypertension in the population. The Working Group for Establishment of Guidelines for Measurement Procedures of Self-Monitoring of Blood Pressure at Home of the Japanese Society of Hypertension has established standards for all techniques and procedures of home BP measurements. The recommendations are as follows. Recommendation: 1) Arm-cuff devices based on the cuff-oscillometric method that have been validated officially, and the accuracy of which has been confirmed in each individual, should be used for home BP measurement. 2) The BP should be measured at the upper arm. Finger-cuff devices and wrist-cuff devices should not be used for home BP measurements. 3) Devices for home BP measurement should be adapted to the American Association for Medical Instrumentation (AAMI) standards and the British Hypertension Society (BHS) guidelines. In addition, the difference between the BP measured by the auscultatory method and that measured using the device should be within 5 mmHg in each individual. The home measurement device should be validated before use, and at regular intervals during use. 4) Home BP should be monitored under the following conditions. The morning measurement should be made within 1 h after waking, after micturition, sitting after 1 to 2 min of rest, before drug ingestion, and before breakfast. The evening measurement should be made just before going to bed, sitting after 1 to 2 min of rest. 5) Home BP should be measured at least once in the morning and once in the evening. 6) All home BP measurements should be documented without selection, together with the date, time, and pulse rate. Use of devices with a printer or an integrated circuit memory is useful to avoid selection bias. 7) The home BP in the morning and that in the evening should be averaged separately for a certain period. The first measurement on each occasion should be used for totaling. 8) Home BP values averaged for a certain period indicate hypertension when 135/80 mmHg and over and definite hypertension when 135/85 mmHg and over. Normotension is defined as less than 125/80 mmHg and definite normotension as less than 125/75 mmHg. Home BP measurements based on these guidelines can be considered an appropriate tool for clinical decision-making, and it is hoped that these guidelines will serve to reduce confusion and confirm the place of home BP measurement in clinical practice.