从血压测量到血压监测研究报告.ppt

从血压测量到血压监测上海交通大学医学院附属瑞金医院上海市高血压研究所王继光jiguangw@血压测量的意义血压测量的发展历程从血压测量到血压监测中国成年人高血压的患病率、知晓率、治疗率与控制率PrevalenceNumberofpatientsAwarenessTreatedControlled1991(>15y)%%%(%)%(%)2002(18y)%%%(%)%(%)2002(60y)%~%%(%)%(%)ChinJHypertens1995;3(suppl):14-18;LiLiming,;26:,478-:(mmHg)lllllllAgeatrisk≥70years60-69years<60yearsHazardratioand95%;21:707–、评估降压治疗的效果评估动脉粥样硬化、动脉硬化发现严重的心率不齐,如房颤、频发早搏等生命体征测量的历史1625-SanctoriusSantorio–publishedmethodsformeasuringbodytemperaturewithspiritthermometer,andtimingpulseratewithpendulum(bothprinciplesestablishedbyGalileo).1707-SirJohnFloyer--LudwigTaube–-ScipioneRiva-i-introducedthesphygmomanometer(BPcuff,4thvitalsign).1910-NikolaiKorotkoff-appliedthecuffwiththestethoscope(developedbyReneLaennec):StephenHales,FRS(-)1727血压测量:Riva-i’scuffmethodofBPmeasurement