联合干预支持的家庭血压监测研究综述

Survey of Home Blood Pressure Monitoring Combined Intervention Support

高血压是心血管疾病的主要危险因素,对人类健康造成了不可逆转的危害。近年来,以家庭血压监测为基石的血压管理已逐步应用于高血压防治,有助于减轻高血压带来的危害。家庭血压监测联合干预支持可提高患者的治疗依从性、提高血压控制的达标率、增加成本效益,进而实现了更好的预后效果。但也存在着一些局限性,如高血压患者研究的随访时间短、受试者少。此外,家庭血压监测的降压效果会受到年龄、基线收缩压和干预支持的影响,因此表明了通过戒烟限酒、合理膳食、体重管理、身体活动及睡眠管理等具体干预措施控制血压的可行性。本文旨在回顾近年来联合干预支持的家庭血压监测的优势、局限性和降压效果的影响因素,探讨可以通过干预支持来管理血压,促进了高血压相关疾病的预防和治疗。

Hypertension is a leading risk factor of cardiovascular disease, thus resulting in irreversible harm to human health. Blood pressure management based on home blood pressure monitoring (HBPM) has been gradually applied in the prevention and treatment of hypertension due to various ad-vantages recently, which is contribute to reducing the harm of hypertension. Combined interven-tion support of HBPM plays an important role in improving patient compliance, the compliance rate of blood pressure control, and cost-effectiveness, further achieving better prognosis. Nevertheless, there are also some limitations such as short follow-up time and fewer subjects in studies of hyper-tension patients. In addition, the antihypertensive effect of HBPM is affected by age, baseline systol-ic blood pressure, and intervention support, thereby indicating the feasibility of specific interven-tions including smoking cessation and alcohol restriction, reasonable diet, weight management, physical activity and sleep management for controlling blood pressure. This paper reviews the ad-vantages, limitations and influencing factors of combined intervention support of HBPM in recent years, and further explores interventions support to manage blood pressure, improving the pre-vention and treatment of hypertension-related diseases.