成人动态血压监测操作的证据总结

Summary of the Evidence for Ambulatory Blood Pressure Monitoring in Adults

  • 摘要:
    目的  检索、评价、整合成人动态血压监测操作的相关证据,以提高动态血压监测的准确性与有效性。
    方法  按照循证资源“6S”金字塔模型系统检索国内外相关网站及数据库中成人动态血压监测操作的相关文献,检索时限为建库至2024年4月。筛选文献后评价文献的方法学质量,根据主题对证据进行提取和汇总。
    结果  根据纳入和排除标准,最终纳入15篇文献,包括临床决策1篇、指南10篇、最佳证据总结1篇和专家共识3篇,总结出32条证据。
    结论  本研究总结了动态血压监测操作的相关证据,为规范医务人员动态血压监测操作提供了循证依据。

     

    Abstract:
    Objective  To retrieve, evaluate, and integrate evidence related to the operational procedures of ambulatory blood pressure monitoring (ABPM) in adults, aiming to enhance the accuracy and effectiveness of ambulatory blood pressure monitoring.
    Methods  A systematic search was conducted following the "6S" pyramid model of evidence-based resources to identify literature pertaining to ABPM operations in adults from relevant domestic and international databases and websites, with the search period spanning from the inception of each database to April 2024. After screening the literature, the methodological quality of the included studies was evaluated. Evidence was extracted and summarized according to thematic categories.
    Results  Based on the inclusion and exclusion criteria, 15 publications were ultimately included, comprising 1 clinical decision, 10 guidelines, 1 best practice summary, and 3 expert consensus documents. A total of 32 evidence items were synthesized.
    Conclusions  This study consolidates evidence related to ABPM operational procedures, providing an evidence-based foundation for standardizing ABPM practices among healthcare professionals.

     

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