家庭血压监测在血液透析患者高血压治疗中的临床应用

目的探讨家庭血压监测在维持性血液透析患者高血压的评估和治疗中的临床价值。方法对比分析101例血液透析患者透析前诊室血压及家庭血压的情况,并根据家庭血压水平对高血压患者进行干预,观察干预后患者血压的变化。结果 101例患者的家庭血压比透析前诊室血压低140.5±13.6/76.2±12.8mmHg（1mmHg=0.133kpa）比147.1±14.6/81.5±15.9mmHg,P〈0.05],透析前高血压的患者为67例（66.3%）,通过家庭血压监测诊断的高血压患者为51例（50.5%）。对于存在家庭高血压的患者进行干预（下调干体质量和/或药物调整）后,家庭血压及诊室透析前血压均有显著下降（P〈0.05）。结论血液透析患者的透析前诊室血压和家庭血压水平存在差异;家庭血压监测可应用于血液透析患者高血压的评估和治疗中。

Home Blood Pressure Monitoring for Managing Hypertension in Hemodialysis Patients

Objective To evaluate the effect of home blood pressure monitoring（HBPM） in diagnosing and managing hypertension in hemodialysis patients.Methods The data of predialysis clinic blood pressure（CBP）and home blood pressure（HBP） in 101 hemodialysis patients were compared.The change in CBP and HBP before and after intervention was analyzed.Results The level of HBP was lower than CBP（140.5±13.6/76.2±12.8mmHg vs 147.1±14.6/81.5±15.9mmHg,P0.05）.67（66.3%）patients＇ BP was over 140/90mmHg.51（50.5%）patients were diagnosed with hypertension by HBPM.The levels of HBP and CBP significantly decreased after intervention（to down-requlate dry body weight and/or adjust antihypertensive drugs）（P0.05）.Conclusions The level of HBP in hemodialysis patients differs from CBP.These data provide support for the use of HBP monitoring for the diagnosis and management of hypertension in hemodialysis patients.