@文章{信息:doi/10.2196/12369，作者="黄清昌陈英贤洪志生李志生许振匡吴子平庄惠文陈宝玉何益伦"，标题="基于web同步远程医疗项目的患者环境温度与家庭血压关系评估:，期刊=“J Med Internet Res”，年=“2019”，月=“3”，日=“04”，量=“21”，数=“3”，页数=“e12369”，关键词=“环境温度;家庭血压;降压药;背景:降低环境温度会显著增加办公室血压，但很少有研究评估环境温度对家庭血压的影响。目的:探讨短期环境温度暴露与家庭血压的关系。方法:我们从一所大学附属医院的远程医疗保健项目中招募慢性心血管疾病患者。血压由病人或他们的护理人员在家测量。我们从台湾中央气象局获得了台北同一时期每小时的气象数据(温度、相对湿度和风速)。结果:从2009年到2013年，我们共纳入253例患者。 Mean patient age was 70.28 (SD 13.79) years, and 66.0{\%} (167/253) of patients were male. We collected a total of 110,715 home blood pressure measurements. Ambient temperature had a negative linear effect on all 3 home blood pressure parameters after adjusting for demographic and clinical factors and antihypertensive agents. A 1{\textdegree}C decrease was associated with a 0.5492-mm Hg increase in mean blood pressure, a 0.6841-mm Hg increase in systolic blood pressure, and a 0.2709-mm Hg increase in diastolic blood pressure. This temperature effect on home blood pressure was less prominent in patients with diabetes or hypertension. Antihypertensive agents modified this negative effect of temperature on home blood pressure to some extent, and angiotensin receptor blockers had the most favorable results. Conclusions: Short-term exposure to low ambient temperature significantly increased home blood pressure in patients with chronic cardiovascular diseases. Antihypertensive agents may modify this effect. ", issn="1438-8871", doi="10.2196/12369", url="//www.mybigtv.com/2019/3/e12369/", url="https://doi.org/10.2196/12369", url="http://www.ncbi.nlm.nih.gov/pubmed/30829574" }