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Hypertension:自我管理产后高血压是否可行?

2018-07-05 MedSci MedSci原创

10个孕妇中就有1个患高血压,且常持续至产后,此时抗高血压的要求个体之间可能存在很大差异。Alexandra E. Cairns等人开展一开放标签的随机对照试验,评估产后高血压自我管理的可行性及对血压(BP)的影响。将需要进行产后抗高血压治疗的妊高症或子娴前期女性随机分至自我管理组或常规护理组。自我管理需要通过远程医疗日常监测BP和降血压治疗。持续随访6个月(共5次)。主要结点是可行性:特定招募、

10个孕妇中就有1个患高血压,且常持续至产后,此时抗高血压的要求个体之间可能存在很大差异。

Alexandra E. Cairns等人开展一开放标签的随机对照试验,评估产后高血压自我管理的可行性及对血压(BP)的影响。将需要进行产后抗高血压治疗的妊高症或子娴前期女性随机分至自我管理组或常规护理组。自我管理需要通过远程医疗日常监测BP和降血压治疗。持续随访6个月(共5次)。主要结点是可行性:特定招募、保留和遵守随访率。次要结点包括BP控制和安全性。

49%的患者(91/186)参与随机分组(干预组45人、对照组46人),90%的患者(82/91)完成随访。两组基线特征基本一致。分组后,干预组大部分患者的BP在第6周时明显降低:干预组平均(SD)收缩压121.6(8.7)/舒张压80.5(6.6)mmHg;对照组收缩压126.6(11.0)/舒张压86.0(9.7)mmHg;校正差(95% CI)收缩压-5.2(-9.3~-1.2)/舒张压-5.8(-9.1~-2.5)mmHg。自我管理组患者的舒张压显着降低维持至第6个月:校正差-4.5(-8.1~-0.8)mmHg。

本研究是首个对产后自我管理血压进行评估的随机对照研究,提示可进行规模更大的干预研究。自我管理可良好控制舒张压长达6个月,甚至超过停用降压药。

原始出处:

Alexandra E. Cairns, et al. Self-Management of Postnatal Hypertension. Hypertension.July 02,2018.https://doi.org/10.1161/HYPERTENSIONAHA.118.10911

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    2018-11-04 feather89
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    2018-07-14 jyzxjiangqin

    自我管理产后高血压.

    0

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    2018-07-07 orangesking

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=1727424, encodeId=18911e2742455, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Nov 04 11:04:00 CST 2018, time=2018-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2038936, encodeId=6585203893671, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Sat May 11 21:04:00 CST 2019, time=2019-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=331542, encodeId=4e1b33154247, content=自我管理产后高血压., beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jul 14 14:27:00 CST 2018, time=2018-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=329992, encodeId=70c0329992e3, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sat Jul 07 13:34:00 CST 2018, time=2018-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1435086, encodeId=93251435086be, content=<a href='/topic/show?id=b3718618000' target=_blank style='color:#2F92EE;'>#自我管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86180, encryptionId=b3718618000, topicName=自我管理)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Jul 07 13:04:00 CST 2018, time=2018-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501309, encodeId=5d52150130912, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11ff9497046, createdName=jambiya, createdTime=Sat Jul 07 13:04:00 CST 2018, time=2018-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=329967, encodeId=3ca532996ede, content=自我管理产后高血压., beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jul 07 11:54:25 CST 2018, time=2018-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=329613, encodeId=00a93296138c, content=不错的文章值得推荐一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Thu Jul 05 23:21:44 CST 2018, time=2018-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=329607, encodeId=bfa732960ed0, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Thu Jul 05 23:06:03 CST 2018, time=2018-07-05, status=1, ipAttribution=)]
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    2018-07-07 jyzxjiangqin

    自我管理产后高血压.

    0

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    2018-07-05 131****2916

    不错的文章值得推荐一下

    0

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    2018-07-05 天地飞扬

    了解一下.谢谢分享!

    0

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