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¦b2019¦~6¤ë11¤é¬ü°ê¤º¬ìÂå¾Ç°|(American College of Physicians)Âå¾Ç´Á¥Z(Annals of Internal Medicine)¤ºµoªíªº¤@¥÷¬ã¨s³ø§i¡A¬ã¨s¤H­û¹B¥Î¾ã¦X¤ÀªRªº²Î­p§Þ³N(meta-analysis)¡A±N¤G¤Q¤C¥÷Æ[¹î©Ê¬ã¨s(observational studies)¦A§@¤ÀªR¡A¨ä¤¤¦@¦³¶W¹L¤»¸U¦ì°Ñ»P¡A¸ò¶i³Ì¤Ö¤T¦~¡A¨C¤@¥÷¬ã¨s³£ÀË´ú¥Õ³T°ª¦åÀ£¹ï°·±dªº¼vÅT¡A¥Ñ¨â¦ì¬ã¨s¤H­û¿W¦Û±q¬ã¨s³ø§i©â¨ú¸ê®Æ©Mµû¦ô¼vÅT¡A¤£¨ü¥t¤@¤Hªº¼vÅT¡C

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¥L­Ì¤]«Øij¡A¨S¦³±µ¨üÃĪ«ªvÀøªº¥Õ³T°ª¦åÀ£±wªÌÀ³ºÉ¶q±Ä¨ú°·±dªº¥Í¬¡¤è¦¡¡A´î§C¶i®i¦¨¬°°ª¦åÀ£¤Î±w¤W¨Öµo¯gªº­·ÀI¡A¥]¬A¡G§Ù·Ï¡B´î¤Ö³Ü°s¶q¡B§ïµ½¿¯­¹¡B©w®É¹B°Êµ¥¡C

¬Û¤Ï¡A¦³¨Ç¤H¦bÂå°È©Ò¶q«×¦åÀ£®É¬O¥¿±`¡A¦ý¦b¨ä¥Lªº±¡ªp¤U¶q«×«o¤É°ª¡A³o³QºÙ¬°¡uÁô½ª©Ê°ª¦åÀ£¡v(masked hypertension)¡A³oºØ±¡ªp¤]·|¼W¥[¤é«á¯u¥¿±w¤W°ª¦åÀ£¤Î¨ä¨Öµo¯gªº­·ÀI¡A©Ò¥H¡A¦b®aùئۤv¶q«×¦åÀ£¬O«D±`­«­nªº¡C

¦b¥[®³¤j¡A¥«­±¤W¦³¦h´Ú¤£¦PÃþ«¬ªº¦åÀ£­p¥X°â¡A±ýÁʶR·Ç½Tªº¦åÀ£­p¡A¥i¿ïÁÊ¡u¥[®³¤j°ª¦åÀ£¨ó·|¡v»{¥iªº¡A³q±`³£¶K¤W¼Ð°O¡C®a©~¥Îªº¦åÀ£­p¥i¤À¥þ¦Û°Ê»P¥b¦Û°Ê¡A¨Ï¥Î¥b¦Û°Êªº¦åÀ£­p»Ý­n¥ÎªÌ®º´¤®ð¬¦¤~¥i¥H¶q«×¦åÀ£¡A»ù¿ú¤ñ¥þ¦Û°Êªº¸û«K©y¡C

¦åÀ£­p¦³¤j¤p¤£¦Pªº¤Ø½X¡A¨Ï¥Î¤£¦X¾Aªº¦åÀ£­p¥i±a¨Ó¿ù»~ªº«×¼Æ¡A©Ò¥H¤@©w­nÁʶR¤j¤p¾A¤¤ªº¦åÀ£­p¡A¶R¦åÀ£­p®É­n¶q«×¤âÁu¤¤¬q(ªÓ»P¨y¤¤¶¡)ªº²Ê¥®¡A¦p¦³ºÃ°Ý¡A¥i¦VÂåÅ@¤H­û©ÎÃľ¯®v¬d¸ß¡C

¦bÀˬd¹L¦åÀ£­p¹B§@¥¿±`¤Î¶q«×¦åÀ£ªº¤èªk¬O¥¿½T«á¡AÂå¥Í·|¬°±wªÌ©w®ÉºÊ´ú¦åÀ£¡A©Î¬°±wªÌ°µ¤G¤Q¥|¤p®É¡u°ÊºA¦åÀ£ºÊ´ú¡v(24 hours ambulatory blood pressure monitor)¡A±wªÌ»Ý­nÀH¨­°t±a¤@³¡²Ó¤pªº¦åÀ£´ú¶q»ö¡A¦b¤G¤Q¥|¤p®É¤º©w®É¶q«×¤Î°O¿ý¦åÀ£¡A¬°Âå¥Í´£¨Ñ±wªÌ¦b¤G¤Q¥|¤p®É¤º¦åÀ£ÅܤƸû·Ç½Tªº¸ê®Æ¡C

¨ä¹ê¡A¦åÀ£¦b¤@¤Ñ¤¤¬O¦³Åܤƪº¡A³q±`¦bºÎı®É¦åÀ£¬O¸û§Cªº¡A¦b¿ô¨Ó«e´X­Ó¤p®É¦åÀ£ºCºC¤É°ª¡A¸ò?·|Ä~Äò¤É°ª¡Aª½¦Ü¤U¤È¡AµM«á±q¶À©ü¶}©lºCºC¤U­°¡C

¦åÀ£ªº¥¿±`³W«ß¥X²{¤£´M±`ªºÅܤƥi¯à¬O¯e¯fªº¼xª¬¡A¨Ò¦pµÇ¯f¡BµÇ¤W¸¢¸~½F¡BºÎ¯v²¿®§¯gµ¥¡A¦Ó¦h­Ó¥Í¬¡¤è¦¡·|ÂZ¶Ã¦åÀ£¥¿±`ªº³W«ß¡A¨Ò¦p©]¯Z©Î½ü¯Z¤u§@¡B¶¼¥Î§t©@°Ø¦]ªº¶¼«~¡B©â·Ï¡BÀ£¤O¤Ó¤jµ¥¡C

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