National Hypertension Day theme: family and self testing blood pressure
In October 8th, is the National Hypertension Day, this year's theme is "family self testing blood pressure".
Call family self testing blood pressure, is designed to appeal to the public especially pay attention to self testing blood pressure in patients with hypertension, understand their blood pressure in time, improve treatment compliance, so that the control of hypertension is better. Self testing blood pressure on the initiative to improve the treatment of hypertensive patients, control has positive significance for the differential diagnosis of hypertension, hypertension, risk prediction has important value to evaluate the therapeutic effect and cardiovascular disease.
The status of 1 self testing blood pressure at home and abroad
The blood pressure measurement and blood pressure measurement of the United States of America, blood pressure measurement norms play an important role. The western developed countries attach great importance to patients with hypertension family self testing blood pressure, 6 hospitals in Italy in 2005 855 outpatients with hypertension patients regularly family self testing blood pressure up to 75%, including the use of upper arm blood pressure accounted for 54%.
Chinese Medical Association survey in 2005 3812 cases of Beijing and Shanghai in patients with hypertension, every self testing blood pressure accounted for 6.8%, 41.7% monthly self testing blood pressure once, only in the dizziness, headache self testing blood pressure accounted for 40.9%. From May to October of 2007, Ministry of health, cardiovascular disease prevention center and Fuwai Hospital in Beijing community functions of 9900 patients with essential hypertension, self testing blood pressure accounted for 30%.
China's current 200000000 hypertensive patients, but the awareness rate was only 30%, the treatment rate was 25%, control rate of 6%, one of the causes of the above "three rates" low that patients do not know their blood pressure levels in patients with essential hypertension; even known medication also feel alone. Quite a few people have never been measured blood pressure, only to the hospital found that hypertension, even cerebral hemorrhage find themselves suffering from hypertension.
2 basic requirements of self testing blood pressure
(1) the pressure of at least 5 minutes of rest
(2) the cuff and the heart to maintain the same level
(3) sit chair sitting, pressure is not a speech, not physical activities, keep quiet
(4) every time pressure 3 times, the average value of the blood pressure value
(5) the storage of blood pressure or a true record of blood pressure.
Interval, frequency of 3 family self testing blood pressure
Family self testing blood pressure in three stages:
The initial stage: measurement of 7 consecutive days, 6 ~ 9 every morning to measure time, every time 3 times, and the average value; 18 PM to 21 points between the measurement time, every time 3 times, the average values.
When computation removes the first day of blood pressure value, average 6 days after the calculation of blood pressure only, namely records 12 readings, the average values.
Treatment stage: according to the first week of self testing blood pressure values to guide drug treatment. If change treatment, is self testing blood pressure for 2 weeks, with 2 weeks to assess the effect of blood pressure mean value.
The follow-up period: such as high blood pressure under control, it is suggested that self testing blood pressure once, such as blood pressure did not control, or blood pressure fluctuations, or poor patient compliance, is then proposed to increase self testing blood pressure frequency, such as every day sooner or later each measured once or several times a week, self testing.
The special circumstances: to identify masked hypertension, white coat hypertension, refractory hypertension, suggested that every day self testing blood pressure morning and evening of the 1, 2 to 4 weeks of continuous measurement.
To understand the 24 hour blood pressure fluctuations can increase blood pressure, self testing frequency, such as early (6 ~ 8), middle (12 ~ 14), from 16 to 18, late (20 ~ 22) each measuring a. Continuous self testing 2 to 4 weeks.
The long-term observation: self testing blood pressure once a week, morning and evening of the 1, self testing blood pressure frequency repeated every 3 months for a week, a day sooner or later each time, for 7 consecutive days. After blood pressure steady, does not advocate the too frequent survey blood pressure.
4 factors affecting the self testing blood pressure
The performance of the sphygmomanometer, accuracy
The cuff size: cuff (bag) is too small, then measured the blood pressure value was higher; if too large, is blood pressure low.
The cuff and the level of the heart is not consistent
The pressure of at least 5 minutes of rest before
With the pressure or arm movement and speech
The operator bias, not a true record of reading
What 5 self testing blood pressure manometer
In 2005 the Chinese hypertension prevention guide presents: self testing pressure to promote the use of upper arm blood pressure by the international certification program. International standards are the British Hypertension Society (BHS), Instrument Society of America (AAMI), the European Society of hypertension (ESH). WHO require developing countries to use easy to get cheap qualified automatic or semi automatic sphygmomanometer.
Definition of hypertension 6 self testing blood pressure
Under normal circumstances, family self testing blood pressure blood pressure values lower than clinic blood pressure measurement, the average value of 135/85mmHg, family self testing blood pressure, equivalent to the clinic blood pressure measurement 140/90mmHg,. Average ≥ 135/85mmHg, not on the same day many family self testing blood pressure, can consider the diagnosis of hypertension. The best combination of clinic blood pressure measurement in diagnosis of hypertension.
The 7 National Hypertension Day campaign
Encourage the use of the October 8th National Hypertension Day opportunity, the significance and the method of self testing blood pressure suit one's measures to local conditions to carry out around the propaganda. Hold self testing blood pressure expert forum, held in a large mass of "self testing blood pressure" field of missionary activity, self testing method in patients with hypertensive blood pressure of the church.
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