China now has nearly 200 million patients with hypertension

According to the Ministry of Health website news, October 8, 2008, the National Hypertension Day, this year's theme is "self-rated family blood pressure."

China's existing hypertension 200 million people, but the awareness rate of hypertension was 30 percent, the treatment rate of 25 percent, control the rate of 6%, above the "three rate" is one of the reasons for the lower patients do not know their blood pressure levels even That the patients with hypertension medication also feel alone. A considerable number of residents have never been measured blood pressure, only to the hospital for treatment of hypertension when found, even when a cerebral hemorrhage find themselves suffering from high blood pressure.

Chinese Medical Association survey in 2005 in Beijing and Shanghai clinic patients with hypertension 3,812 cases a day of self-blood pressure, 6.8 percent, a monthly self-testing blood pressure of 41.7 percent, only in dizziness, headaches, accounting for 40.9 percent of self-blood pressure. May 2007 to October, the Ministry of Health Cardiovascular Disease Prevention Center and part of Beijing Fuwai Hospital investigating 9,900 cases of community functions in patients with hypertension, blood pressure self-rated 30 per cent.

Called on the family self-rated blood pressure, aims to appeal to the public especially the importance of self-blood pressure in patients with hypertension, timely understanding of their blood pressure, improve treatment compliance, in order to better control hypertension. Self-rated to increase blood pressure in patients with hypertension treatment initiative, and control of hypertension is of positive significance, the differential diagnosis of hypertension, cardiovascular disease and efficacy assessment of the danger were predicted value.

The Ministry of Health for Disease Control and Prevention Bureau to encourage the use of October 8, the 10th of a national hypertension opportunities for self-testing blood pressure in light of local conditions around the meaning and methods of publicity. Exercises held blood pressure expert forum, held large masses of "self-testing blood pressure," the scene missionaries, the Church of self-blood pressure in patients with hypertension way.

Self-rated basic requirements for blood pressure

(1) pressure before the break at least five minutes

(2) cuff and the heart to maintain the same level

(3) sit Kaobei Yi seat, the pressure is not speech, physical activity, keep silent

(4) each pressure three times, choose based on the average blood pressure

(5) storage of blood pressure values or the real record of blood pressure values.

Self-rated among the family of blood pressure, frequency

Self-rated family of blood pressure in three stages:

⑴ initial phase: continuous measurements a day, 7 days from 6:00 to 9:00 measuring between one and three times each, comes average; 18:00 pm to 21:00 between the first measurement, each three times, comes Average.

Excluded from the calculation of the first day of blood pressure, only six days after the calculation of average blood pressure, recorded readings of 12, comes average. ⑵ phase of the treatment: According to the first week of guided self-rated blood pressure medication. Such as changes in treatment, self-testing blood pressure two weeks, with two weeks to assess the average blood pressure effect.

⑶ follow-up stage: such as high blood pressure under control, the proposed self-rated blood pressure once a week, if not control blood pressure, or blood pressure fluctuations, or poor patient compliance, the proposal to increase the frequency of self-blood pressure, a day sooner or later if the test once, or each Self-rated several weeks.

⑷ special circumstances: to identify hidden such as hypertension, white coat hypertension, refractory hypertension, the proposed self-rated daily blood pressure sooner or later the one, continuous measurement two weeks to four weeks.

For 24-hour blood pressure fluctuations changes, to increase the frequency of self-blood pressure, such as the early (6 to 8:00), (12 to 14:00), from 16 to 18:00, night (20 to 22:00) of the first test. Self-rated for two weeks to four weeks.

⑸ long-term observations: the general blood pressure of a weekly self-rated back to that sooner or later the once every three months to repeat the first week of the frequency of self-blood pressure, that is, sooner or later the first day, for seven days. Blood pressure stable, not too frequent advocate of measuring blood pressure.

The impact of factors of self-blood pressure

⑴ device performance, accuracy

⑵ cuff size: the cuff (balloon) is too small, measuring the value of high blood pressure if too much, low blood pressure.

⑶ cuff inconsistent with the level of the heart

⑷ pressure before the rest of at least 5 minutes

⑸ pressure at the arm of speech or activities

⑹ operator prejudice, not true record readings

Self-rated in which blood pressure device

2005 Guide to China's prevention and treatment of hypertension: blood pressure, to promote the use of self-rated by the international certification of the upper arm electronic device. International certification standards are British Hypertension Society (BHS), the United States Instrument Association (AAMI), the European Society of Hypertension (ESH). WHO require developing countries to use the easy access to qualified low prices of automatic or semi-automatic device.

Self-rated definition of blood pressure in hypertension

Under normal circumstances, the family of self-blood pressure measurement of blood pressure is lower than clinic blood pressure, blood pressure, on average, the family self-rated 135/85 mmHg, equivalent to the clinic blood pressure measurement 140/90 mmHg. Extraordinary self-rated family on several occasions the average blood pressure ≥ 135/85 mmHg,, could be considered for the diagnosis of hypertension. Combining the best measurement of blood pressure clinic diagnosis of hypertension.