家庭血压指导的生活方式干预用于工作场所健康检查中发现血压升高者：一项随机预试验。
完整摘要 · 中文译文
背景：职场健康检查可能识别出血压（BP）升高，但单次测量可能无法反映平常血压。我们评估了在职场健康检查中发现血压升高后，以家庭血压为指导的生活方式管理。 方法：58名市政雇员被随机分配至家庭血压监测加医生主导的生活方式咨询组（n = 31）或仅接受相同咨询而不进行家庭血压反馈组（n = 27）。两组均接受两次预定咨询。主要结局是随后年度健康检查时收缩压的变化。 结果：与对照组相比，干预组收缩压降幅更大（组间差异，-9.9 mmHg；95% CI，-17.0至-2.8；p = 0.007）。排除3名开始使用降压药物的参与者后，收缩压差异仍具有统计学意义（-7.7 mmHg；95% CI，-14.6至-0.8；p = 0.029）。 结论：以家庭血压为指导的生活方式咨询可能改善对职场健康检查中发现血压升高的管理。
完整摘要 · 英文原文
BACKGROUND: Workplace health checkups may identify elevated blood pressure (BP), but a single measurement may not reflect usual BP. We evaluated home BP-guided lifestyle management after elevated BP was detected at a workplace health checkup. METHODS: Fifty-eight municipal employees were randomized to home BP monitoring plus physician-led lifestyle counseling (n = 31) or the same counseling without home BP feedback (n = 27). Both groups received two scheduled counseling sessions. The primary outcome was change in systolic BP at the subsequent annual health checkup. RESULTS: Compared with the control group, the intervention group had greater reductions in systolic BP (between-group difference, -9.9 mmHg; 95% CI, -17.0 to -2.8; p = 0.007). After excluding three participants who initiated antihypertensive medication, the systolic BP difference remained significant (-7.7 mmHg; 95% CI, -14.6 to -0.8; p = 0.029). CONCLUSIONS: Home BP-guided lifestyle counseling may improve management of elevated BP detected at workplace health checkups.