高血压是最常见的慢性病，也是许多疾病的独立危险因素。国内外研究显示，血压的不稳定更容易引起心、脑、肾等靶器官的损害。偶测的诊室血压已经不能满足血压评估的需求。本文从诊室外血压出发，对动态血压监测、家庭自测血压的特点及近年来国内外对诊室外血压制定的相关指南和共识进行了介绍；特别是对家庭自测血压在社区血压管理中的重要地位进行了分析，为高血压患者血压的自我评估和科学管理提供指导。%Hypertension is a common chronic disease and an independent risk factor for many diseases. Researches show that the instability of blood pressure is more likely to bring damage to target organs,such as heart,brain and kidney. Episodic blood pressure measurement in consulting room is insufficient for blood pressure assessment. The paper introduced the characteristics of ambulatory blood pressure monitoring and home blood pressure monitoring,examined relevant guidelines and consensus of blood pressure monitoring outside consulting room,and particularly analyzed the importance of home blood pressure monitoring in hypertension management in community. Guidance for self-assessment and scientific management of blood pressure was provided to hypertensive patients.
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