Feasibility study on home blood pressure measurement and 24-hr blood pressure monitoring in public health

家庭血压测量和24小时血压监测在公共卫生中的可行性研究

• 批准号: 63870025
• 负责人: IKEDA Masayuki
• 金额: $ 2.24万
• 依托单位: KYOTO UNIVERSITY (1989)Tohoku University (1988)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Developmental Scientific Research
• 财政年份: 1988
• 资助国家: 日本
• 起止时间: 1988 至 1989
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-63870025/
• 关键词: Home blood pressure; Twenty four-hour blood pressure monitoring; Ambulatory blood pressure; Hypertension; 若年者; 成人

The field studied was Uchikawame district of Ohazama village in Iwate Prefecture, Japan. Home blood pressure (HBP) was measured twice a day (once soon after wake-up and the other shortly before retirement to bed) for 4 weeks in 1190 adults (495 men and 695 women) in 1988, and 718 adults (309 men and 409 women) in 1989; the study populations were partially overlapped. No significant difference in pressure was observed between the morning and evening measures, nor between the two sexes. Both SBP and DBP tended to increase as a function of progress in age in either sex. When compared with casual blood pressure (CBP), HBP (both SBP and DBP) tended to be lower than CBP by 5-10 mmHg. Simultaneous measurement of blood pressure with casual auscultation method and automated measurement (with an instrument originally for home blood pressure measurement) among 439 school children (221 boys and 218 girls) of various ages (6-14 years) showed that the selection of the best fit cuff (the bandage around the upper arm) is of critical importance for the correct measurement of home blood pressure of children. Twenty four-hr ambulatory blood pressure (AMBP) was measured in 460 subjects; the correlation of home blood pressure with AMBP on individual basis was rather poor with a correlation coefficient of 0.6.

研究地点为日本岩手县大泽村内川目地区。 1988 年对 1190 名成年人（495 名男性和 695 名女性）进行了为期 4 周的家庭血压（HBP）每天测量两次（一次是在起床后不久，另一次是在退休前不久），1989 年对 718 名成年人（309 名男性和 409 名女性）进行了为期 4 周的测量；研究人群部分重叠。早上和晚上测量的压力没有显着差异，两性之间也没有观察到显着差异。无论性别，随着年龄的增长，收缩压和舒张压都会增加。与休闲血压 (CBP) 相比，HBP（收缩压和舒张压）往往比 CBP 低 5-10 mmHg。对439名不同年龄（6-14岁）的学童（221名男孩和218名女孩）采用随意听诊法和自动测量（使用原本用于家庭血压测量的仪器）同时测量血压表明，选择最合适的袖带（上臂周围的绷带）对于正确测量儿童家庭血压至关重要。对 460 名受试者进行了 24 小时动态血压 (AMBP) 测量；个人家庭血压与AMBP的相关性较差，相关系数为0.6。

项目成果

Y.Imai et al.: "A cross-sectionalsurvey of home blood pressure in a rural community in northern Japan" J.Clin.Expt.Hypertension.

Y.Imai 等人：“日本北部农村社区家庭血压横断面调查”J.Clin.Expt.Hypertension。

今井潤 他: "地域集団における家庭血圧測定と家庭血圧値の性・年齢階層による分布"

Jun Imai 等人：“某地区人口的家庭血压测量以及按性别和年龄组划分的家庭血压值分布”

Y.Imai et al.: "A cross-sectional survey of home blood pressure in a rural community in northern Japan" J.Clin.Expt.Hypertension.

Y.Imai 等人：“日本北部农村社区家庭血压横断面调查”J.Clin.Expt.Hypertension。

今井潤他: "地域集団における家庭血圧測定と家庭血圧値の性・年令階層による分布"

Jun Imai 等人：“某地区人口的家庭血压测量以及按性别和年龄组划分的家庭血压值分布”