2020中国动态血压监测指南

摘要/Abstract

中图分类号:

R715.2

中国高血压联盟《动态血压监测指南》委员会. 2020中国动态血压监测指南[J]. 诊断学理论与实践, 2021, 20(01): 21-36.

图/表10

动态血压计选择	经过准确性验证的动态血压计型号推荐
动态血压计自动测量设定	根据臂围,选用大小合适的袖带;应尽可能确保监测时间不少于24 h;白天每15~30 min测量1次, 夜间每30 min测量1次。
动态血压日记卡	记录起床、睡眠、午睡时间等;提供监测当天的服药信息。
有效动态血压监测	有效读数在设定应获取读数的70%以上;白天至少20个有效读数,夜间至少7个有效读数。

表1

表2

动态血压监测的血压计型号及适用人群

推荐级别	设备英文名	设备中文名	产地	型号	适用人群
优先推荐	A&D	爱安德	日本	TM-2440^*, TM-2441	成人
	A&D	爱安德	日本	TM-2430	儿童
	Andon	九安	中国天津	iHealth CardioMed ABP100	成人
	Beneware	百慧	中国杭州	ABP-021	成人
	Custo Med	-	德国	custo screen 400	成人
	Custo Med	-	德国	custo screen pediatric	儿童
	Hingmed	星脉	中国深圳	WBP-02A	成人
	IEM	-	德国	mobil-O-Graph	成人
	Meditech	麦迪特	匈牙利	ABPM-06	成人
	Microlife	迈克大夫	中国台湾	Watch BP O3, WatchBP O3 (BP 3MZ1-1), WatchBP O3 (BP3SZ1-1)^, WatchBP O3 AFIB^	成人
	PAR Medizintechnik & Co.	-	德国	PHYSIO-PORT UP	孕妇
	PAR Medizintechnik & Co.	-	德国	TONOPORT Ⅵ	成人
	Petr Telegin	-	俄罗斯	BPLab	成人、儿童
	Spacelabs	太空	美国	90227	成人
	Tiba Medical	-	美国	Ambulo 2400	成人、儿童
通过验证	A&D	爱安德	日本	TM-2420	成人
	Cardiette	-	意大利	BP one	成人
	EnviteC	安维特	德国	PhysioQuant	成人
	GE Healthcare	通用医疗	美国	TONOPORT Ⅴ	成人
	IEM	-	德国	Mobil O Graph ( version 12)	成人
	Meditech	麦迪特	匈牙利	ABPM-04	成人
	Schiller	席勒	瑞士	BR-102 plus	成人
	Spacelabs	太空	美国	90207,90217	成人
	SunTech	顺泰	美国	AGILIS, Oscar 2	成人
	TensioMed	-	匈牙利	Tensioday	成人

表2

图1

图2

图3

诊室血压（mmHg）	动态血压（mmHg）
120/80	120/75	120/80	105/65
130/80	125/75	130/80	110/65
140/90	130/80	135/85	120/70
160/100	140/85	150/95	130/80

表3

图4

图5

人群	动态血压特征
难治性高血压	常见白大衣性高血压
阻塞型睡眠呼吸暂停低通气综合征	非杓型血压、夜间高血压、血压晨峰升高,血压变异性增加
糖尿病、肥胖和代谢综合征患者	非杓型血压、夜间高血压,常见隐蔽性高血压
慢性肾脏病	非杓型血压、夜间高血压以及清晨高血压,血压变异性增加,常见隐蔽性高血压或隐蔽性未控制高血压
帕金森病	常见反杓型血压、直立性低血压、卧位高血压
肾血管性高血压,内分泌性高血压（原发性醛固酮增多症、库欣综合征、嗜铬细胞瘤等）	非杓型血压、夜间高血压,血压变异性增加
老年人	白大衣性高血压、血压昼夜节律消失,血压变异性增加,常见体位性低血压及餐后低血压、血压晨峰升高
儿童	肥胖、患有慢性肾脏病或主动脉缩窄修复术后的患儿常见隐蔽性高血压
妊娠妇女	常见白大衣性高血压

表4

图6

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2020中国动态血压监测指南

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诊室血压（mmHg）	动态血压（mmHg）
诊室血压（mmHg）	24 h	白天	夜间
120/80	120/75	120/80	105/65
130/80	125/75	130/80	110/65
140/90	130/80	135/85	120/70
160/100	140/85	150/95	130/80

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