动态血压监测较诊室、家庭血压测量的优越应用价值

The Superior Application Value of Ambulatory Blood Pressure Monitoring Compared with the Blood Pressure Measurement in Office and Home

摘要: 目前，高血压已成为严重危害人类健康，影响人类生活质量，增加社会经济负担的全球性公共卫生问题之一。高血压控制不当引起的心脑血管疾病和肾脏疾病的发病率逐年增加。此外，由于高血压的起病、发生及发展的隐匿性特点导致多数高血压患者尚不清楚是否患有高血压，从而导致心脑肾脏疾病等并发症的出现，进而严重扰乱人类正常生活，影响预期寿命，并且高血压的发病逐渐呈年轻化的趋势，起病覆盖范围逐渐扩大，无论性别年龄，均有罹患高血压的可能，因此对高血压病进行及时的发现和控制刻不容缓。目前对高血压的早期诊断以及对血压的精准控制的唯一标准就是血压监测，血压监测是高血压的规范化诊断、治疗与管理过程中的重要环节，优越的血压监测方式对于提升高血压人群的血压控制率、达标率以及评估预后情况有着极大的使用和推广价值，现对诊室血压测量(office blood pressure measurement, OBPM)、家庭血压测量(home blood pressure measurement, HBPM)以及动态血压监测(ambulatory blood pressure monitoring, ABPM)的优缺点进行阐述，并重点强调动态血压监测在高血压诊治过程中的优越应用价值以期在临床推广使用。

Abstract: At present, hypertension has become one of the global public health problems that seriously endanger human health, affect the quality of human life, and increase the social and economic burden. The incidence of cardiovascular and cerebrovascular diseases and kidney diseases caused by poor hypertension control is increasing year by year. In addition, due to the insidious characteristics of the onset, occurrence and development of hypertension, most hypertensive patients are not sure whether they have hypertension, which leads to complications such as heart, brain and kidney disease, which seriously disrupts normal human life and affects expectations life expectancy, and the incidence of hypertension is gradually becoming younger, the coverage is gradually expanding, and regardless of gender and age, there is the possibility of hypertension. Therefore, timely detection and control of hypertension are urgent. At present, the only standard for early diagnosis of hypertension and precise control of blood pressure is blood pressure monitoring. Blood pressure monitoring is an important link in the standardized diagnosis, treatment and management of hypertension. The superior blood pressure monitoring method has great use and promotion value for improving the blood pressure control rate, compliance rate and prognosis assessment of hypertension people. The advantages and disadvantages of office blood pressure measurement (OBPM), home blood pressure measurement (HBPM), and ambulatory blood pressure monitoring (ABPM) are reviewed, with emphasis on the superior application value of ambulatory blood pressure monitoring in the diagnosis and treatment of hypertension to expect to be used in clinical promotion.