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接受透析治疗的成人、儿童和青少年患者的血压管理:UKKA指南(2025)

制定者:
英国肾脏病协会(UKKA,UK Kidney Association)

2025年1月27日

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摘要:

中英对照

Summary of clinical practice guidelines 

Measurement of blood pressure

1. We recommend interdialytic ambulatory blood pressure monitoring (ABPM) as the gold standard to diagnose hypertension in people on haemodialysis. (1C) 

2. We suggest using either home blood pressure measurement (HBPM) or standardised out-ofdialysis unit clinic BP measurement to monitor BP and guide treatment for in-centre haemodialysis. (2C)

3. We suggest clinicians use routine dialysis unit BP measurements to inform safety of delivering haemodialysis rather than to inform hypertension management decisions, because of the imprecision of routine dialysis unit BP measurement compared to standardised out-of-dialysisunit BP measurement and interdialytic ABPM. (2C)

4. We suggest using either HBPM or standardised clinic BP measurements to monitor BP and guide treatment in patients receiving home-based dialysis (home haemodialysis and peritoneal dialysis). (2C)

临床实践指南摘要:血压测量

1.推荐将透析间期动态血压监测(ABPM)作为血液透析患者高血压诊断的金标准。(证据等级1C)

2.建议采用家庭血压监测(HBPM)或透析中心外标准化诊室血压测量,用于监测中心血液透析患者的血压并指导治疗。(证据等级2C)

3.建议临床医生将常规透析中心血压测量仅用于评估血液透析治疗的安全性,而非指导高血压管理决策。因其精确性低于透析中心外标准化血压测量及透析间期ABPM。(证据等级2C)

4.建议采用家庭血压监测(HBPM)或标准化诊室血压测量,用于居家透析患者(包括居家血液透析和腹膜透析)的血压监测与治疗指导。(证据等级2C)

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临床指南
接受透析治疗的成人、儿童和青少年患者的血压管理:UKKA指南(2025)
发布时间:  2025年1月27日
制定者:  
英国肾脏病协会(UKKA,UK Kidney Association)

77人浏览

0收藏

0次下载

摘要

Summary of clinical practice guidelines 

Measurement of blood pressure

1. We recommend interdialytic ambulatory blood pressure monitoring (ABPM) as the gold standard to diagnose hypertension in people on haemodialysis. (1C) 

2. We suggest using either home blood pressure measurement (HBPM) or standardised out-ofdialysis unit clinic BP measurement to monitor BP and guide treatment for in-centre haemodialysis. (2C)

3. We suggest clinicians use routine dialysis unit BP measurements to inform safety of delivering haemodialysis rather than to inform hypertension management decisions, because of the imprecision of routine dialysis unit BP measurement compared to standardised out-of-dialysisunit BP measurement and interdialytic ABPM. (2C)

4. We suggest using either HBPM or standardised clinic BP measurements to monitor BP and guide treatment in patients receiving home-based dialysis (home haemodialysis and peritoneal dialysis). (2C)

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