{"id":1649,"date":"2019-02-20T10:48:04","date_gmt":"2019-02-20T01:48:04","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1649"},"modified":"2019-02-20T10:48:04","modified_gmt":"2019-02-20T01:48:04","slug":"%e8%a1%80%e5%9c%a7%e3%82%b3%e3%83%b3%e3%83%88%e3%83%ad%e3%83%bc%e3%83%ab%e3%82%92%e8%a9%95%e4%be%a1%e3%81%99%e3%82%8b%e3%81%9f%e3%82%81%e3%81%ae%e8%a1%80%e5%9c%a7%e6%97%a5%e8%aa%8c%e3%81%ae%e6%b4%bb","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1649","title":{"rendered":"\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u8840\u5727\u65e5\u8a8c\u306e\u6d3b\u7528"},"content":{"rendered":"

-\u6587\u732e\u540d-
\nJames E.Sharman, BHMS(Hons), PhD, et al. Pragmatic Method Using Blood Pressure Diaries to Assess Blood Pressure Control. Annals of family medicine. Vol.14, No.1, January\/February 2016<\/p>\n

-\u8981\u7d04-
\nIntroduction
\n\u8a3a\u7642\u6240\u8840\u5727\u306f\u60a3\u8005\u306e\u8840\u5727\u7ba1\u7406\u306b\u3088\u304f\u4f7f\u308f\u308c\u308b\u304c\u3001\u771f\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u72b6\u6cc1\u3092\u6b63\u78ba\u306b\u53cd\u6620\u3057\u306a\u3044\u3068\u3044\u3046\u9650\u754c\u304c\u3042\u308b\u3002\u5bb6\u5ead\u8840\u5727\uff08HBP\uff09\u3001\u307e\u305f\u306f24\u6642\u9593\u81ea\u7531\u884c\u52d5\u4e0b\u8840\u5727\uff08ABP\uff09\u306e\u4f7f\u7528\u306f\u4e88\u5f8c\u6709\u7528\u6027\u304c\u9ad8\u3044\u3002HBP\u306f\u4e00\u822c\u7684\u306b\u5e83\u304f\u5229\u7528\u3055\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u6709\u7528\u6027\u304b\u3089\u591a\u6570\u306e\u56fd\u3067\u652f\u6301\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u60a3\u8005\u306e\u65e5\u8a8c\u304b\u3089\u624b\u52d5\u3067\u8840\u5727\u306e\u5e73\u5747\u3092\u8a08\u7b97\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3068\u3044\u3046\u554f\u984c\u304c\u3042\u308b\u3002\u5916\u6765\u306e\u6642\u9593\u3067\u533b\u5e2b\u304c\u305d\u306e\u8a08\u7b97\u3092\u3059\u308b\u3053\u3068\u306f\u73fe\u5b9f\u7684\u3067\u306f\u306a\u3044\u3002\u4eca\u56de\u3001HBP\u304c\u53ce\u7e2e\u671f\u8840\u5727\u306e\u95be\u5024\uff08\u2267135mmHg\uff09\u3092\u8d85\u3048\u3066\u3044\u308b\u5272\u5408\u306b\u3064\u3044\u3066\u3001\u3069\u306e\u7a0b\u5ea6\u306e\u5272\u5408\u304c\u6700\u9069\u304b\u3092\u6c7a\u5b9a\u3059\u308b\u76ee\u7684\u3067\u7814\u7a76\u304c\u884c\u308f\u308c\u305f\u3002
\nMethod
\n3\u3064\u306e\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u65bd\u8a2d\u3067\u3001\u9ad8\u8840\u5727\u6cbb\u7642\u4e2d\u306e\u60a3\u8005286\u540d\u304c\u52df\u96c6\u3055\u308c\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u81e8\u5e8a\u8a66\u9a13\u304c\u5b9f\u65bd\u3055\u308c\u305f\u3002\u60a3\u8005\u306f\u5408\u4f75\u75c7\u306e\u306a\u3044\u672c\u614b\u6027\u9ad8\u8840\u5727\u306b\u5bfe\u3057\u30013\u7a2e\u985e\u4ee5\u4e0b\u306e\u964d\u5727\u85ac\u5185\u670d\u306b\u3088\u308a\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u308b\u598a\u5a20\u3057\u3066\u3044\u306a\u3044\u6210\u4eba\u304c\u9078\u3070\u308c\u305f\u3002\u9664\u5916\u57fa\u6e96\u306f\u5de6\u5ba4\u5fc3\u7b4b\u91cd\u91cf\u4fc2\u6570\u306e\u7570\u5e38\u3001\u51a0\u52d5\u8108\u75be\u60a3\u307e\u305f\u306f\u814e\u75be\u60a3\u306e\u65e2\u5f80\u3001\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\uff1e1.6\u3001\u4e8c\u6b21\u6027\u9ad8\u8840\u5727\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u4e0d\u826f\u306e\u9ad8\u8840\u5727\uff08\u8a3a\u7642\u6240\u8840\u5727\uff1e180\/100\uff09\u3001\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\u3001\u4e0a\u80a2\u9589\u585e\u6027\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u75c7\u306e\u60a3\u8005\u3067\u3042\u308b\u3002\u60a3\u8005\u306f7\u65e5\u9593HBP\u3092\u8a18\u9332\u3057\u300124\u6642\u9593ABP\u3001\u5927\u52d5\u8108\u786c\u5316\u3001\u5de6\u5ba4\u5fc3\u7b4b\u91cd\u91cf\u304a\u3088\u3073\u6a5f\u80fd\u3001\u306a\u3089\u3073\u306b\u7814\u7a76\u767b\u9332\u6642\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u691c\u67fb\u3067\u8a55\u4fa1\u3055\u308c\u305f\u5de6\u623f\u9762\u7a4d\u304c\u6e2c\u5b9a\u3055\u308c\u305f\u300224\u6642\u9593ABP\u53ce\u7e2e\u671f\u8840\u5727\u2267130mmHg\u3001\u307e\u305f\u306f\u65e5\u4e2d\u306e24\u6642\u9593ABP\u306e\u53ce\u7e2e\u671f\u8840\u5727\u2267135mmHg\u3068\u5b9a\u7fa9\u3055\u308c\u305f\u3002\u78ba\u8a3c\u7684\u8a3c\u62e0\u306b\u3088\u308b\u691c\u8a3c\u306f\u3001\u6700\u7d42\u81d3\u5668\u75be\u60a3\u306e\u30de\u30fc\u30ab\u30fc\u3068\u306e\u95a2\u9023\u306b\u3088\u3063\u3066\u884c\u308f\u308c\u305f\u3002
\nResults
\n\u6cbb\u7642\/\u76ee\u6a19\u95be\u5024\u3092\u8d85\u3048\u308b24\u6642\u9593\u306eABP\u53ce\u7e2e\u671f\u8840\u5727\u306e\u6700\u826f\u306e\u4e88\u6e2c\u56e0\u5b50\u306f\u3001\u6700\u5f8c\u306e10\u56de\u306e\u5728\u5b85\u53ce\u7e2e\u671f\u8840\u5727\u6e2c\u5b9a\u5024\u306e\u3046\u30613\u56de\u4ee5\u4e0a\u304c135mmHg\u4ee5\u4e0a\u306e\u8840\u5727\u3068\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u3067\u3042\u3063\u305f\uff08Table 2\u53c2\u7167\uff09\u3002\u3053\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u60a3\u8005\u3068\u6bd4\u8f03\u3057\u3066\u3001\u3053\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3059\u60a3\u8005\u306f\u6a19\u7684\u81d3\u5668\u75be\u60a3\u306e\u8a3c\u62e0\u304c\u3042\u308a\u3001\u6709\u610f\u306b\u9ad8\u3044\u5927\u52d5\u8108\u786c\u5316\u3001\u5de6\u5ba4\u306e\u76f8\u5bfe\u7684\u306a\u58c1\u80a5\u539a\u3001\u5de6\u623f\u62e1\u5927\u3001\u5de6\u5ba4\u99c6\u51fa\u7387\u4f4e\u4e0b\u304c\u307f\u3089\u308c\u305f\u3002
\nDiscussion
\n\u60a3\u8005\u306eHBP\u65e5\u8a8c\u306e\u4f7f\u7528\u306f\u3001\u8840\u5727\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304a\u3088\u3073\u56fd\u969b\u7684\u306a\u5c02\u9580\u5bb6\u59d4\u54e1\u4f1a\u306b\u3088\u3063\u3066\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u5916\u6765\u306e\u4e2d\u3067\u5168\u3066\u306e\u60a3\u8005\u306eHBP\u306e\u5e73\u5747\u3092\u8a08\u7b97\u3059\u308b\u3053\u3068\u306f\u73fe\u5b9f\u7684\u3067\u306f\u306a\u3044\u3002\u672c\u7814\u7a76\u306b\u3088\u308a\u3001\u6700\u5f8c10\u56de\u306eHBP\u306e\u3046\u306130\uff05\u4ee5\u4e0a\u304c\u2267135mmHg\u3067\u3042\u3063\u305f\u5834\u5408\u300124\u6642\u9593ABP\u306b\u3088\u308c\u3070\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4e0d\u826f\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u305d\u306e\u59a5\u5f53\u6027\u3068\u3057\u3066\u3001\u6700\u5f8c10\u56de\u306eHBP\u306e30\uff05\u4ee5\u4e0a\u304c\u2267135mmHg\u3068\u306a\u3063\u305f\u60a3\u8005\u3067\u3001\u9ad8\u8840\u5727\u95a2\u9023\u306e\u5fc3\u81d3\u304a\u3088\u3073\u5927\u52d5\u8108\u306e\u672b\u68a2\u81d3\u5668\u75be\u60a3\u7f79\u60a3\u7387\u304c\u9ad8\u3044\u3053\u3068\u3067\u88cf\u4ed8\u3051\u3089\u308c\u305f\u3002\u672c\u7814\u7a76\u306e\u9650\u754c\u3068\u3057\u3066\u3001\u4eca\u56de\u306e\u8abf\u67fb\u7d50\u679c\u306f\u6211\u3005\u304c\u4f7f\u7528\u3057\u305fHBP\u30d7\u30ed\u30c8\u30b3\u30eb\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u305a\u3001\u7570\u306a\u308bHBP\u8a18\u9332\u65b9\u6cd5\u3084\u3001\u8457\u660e\u306b\u9ad8\u3044\u8a3a\u7642\u6240\u8840\u5727\uff08\uff1e180\/100\uff4d\uff4d\uff28\uff47\uff09\u306e\u60a3\u8005\u306b\u4e00\u822c\u5316\u3067\u304d\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u307e\u305f\u3001\u964d\u5727\u85ac\u306e\u670d\u7528\u6642\u9593\u3092\u6a19\u6e96\u5316\u3057\u305f\u308a\u3001HBP\u306e\u4e00\u8cab\u6027\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u65e5\u5e38\u751f\u6d3b\u6d3b\u52d5\u3092\u5236\u9650\u3057\u305f\u308a\u306f\u3057\u306a\u304b\u3063\u305f\uff08\u904b\u52d5\u7fd2\u6163\u3001\u98df\u4e8b\u3001\u98f2\u9152\u306a\u3069\uff09\u3002\u305d\u308c\u3067\u3082\u3001HBP\u304c\u4eca\u56de\u306e\u7814\u7a76\u3067\u4f7f\u7528\u3055\u308c\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u306a\u65b9\u6cd5\u3067\u8a18\u9332\u3055\u308c\u305f\u5834\u5408\u3001\u518d\u73fe\u6027\u9ad8\u304f\u3001\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u8840\u5727\u304c\u78ba\u8a8d\u3067\u304d\u308b\u3002<\/p>\n

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-\u6587\u732e\u540d- James E.Sharman, BHMS(Hons), PhD, et al. Pragmatic Method Using Blood Pressure Diaries to Assess Blood P … \u7d9a\u304d\u3092\u8aad\u3080 \u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306e\u8840\u5727\u65e5\u8a8c\u306e\u6d3b\u7528<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1649","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1649","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1649"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1649\/revisions"}],"predecessor-version":[{"id":1650,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1649\/revisions\/1650"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}