[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"blog-\u002Fblog\u002Fhome-blood-pressure":3},{"id":4,"title":5,"body":6,"date":317,"description":318,"draft":319,"extension":320,"meta":321,"navigation":322,"path":323,"seo":324,"stem":325,"tags":326,"updated":329,"__hash__":330},"blog\u002Fblog\u002Fhome-blood-pressure.md","居家血壓怎麼量才準？認識「722」原則",{"type":7,"value":8,"toc":305},"minimark",[9,13,21,27,30,35,38,98,108,111,114,117,139,142,169,172,175,182,185,188,195,202,209,223,226,229,232,238,241,244,258,261,264,267,270,281,284,287,296,299],[10,11,12],"p",{},"「我在家量都正常啊，怎麼在醫院量就高？」",[10,14,15,16,20],{},"這句話很常聽到，而且",[17,18,19],"strong",{},"通常不是量錯，是兩者本來就會不一樣","。",[10,22,23,24],{},"診間血壓容易受緊張影響（俗稱白袍高血壓），也可能相反——有些人在診間正常、\n在家偏高。所以現在的照護觀念是：",[17,25,26],{},"居家血壓的紀錄，是醫師判斷的重要依據。",[10,28,29],{},"但前提是量得對。量錯的數字比沒有數字更糟，因為它會誤導用藥判斷。",[31,32,34],"h2",{"id":33},"_722-原則","722 原則",[10,36,37],{},"台灣推廣的居家血壓量測原則，好記也好執行：",[39,40,41,54],"table",{},[42,43,44],"thead",{},[45,46,47,51],"tr",{},[48,49,50],"th",{},"數字",[48,52,53],{},"意思",[55,56,57,71,85],"tbody",{},[45,58,59,65],{},[60,61,62],"td",{},[17,63,64],{},"7",[60,66,67,68],{},"連續量 ",[17,69,70],{},"7 天",[45,72,73,78],{},[60,74,75],{},[17,76,77],{},"2",[60,79,80,81,84],{},"每天 ",[17,82,83],{},"2 次","（早上、晚上）",[45,86,87,91],{},[60,88,89],{},[17,90,77],{},[60,92,93,94,97],{},"每次量 ",[17,95,96],{},"2 遍","，取平均",[10,99,100,103,104,107],{},[17,101,102],{},"早上","：起床後一小時內，上完廁所、吃早餐和吃藥「之前」。\n",[17,105,106],{},"晚上","：睡前，洗完澡休息一段時間之後。",[10,109,110],{},"重點是「同一個時間、同樣的條件」。今天早上量、明天睡前量，\n數字沒辦法互相比較。",[31,112,113],{"id":113},"量之前的五分鐘",[10,115,116],{},"這幾件事影響很大，但最常被跳過：",[118,119,120,127,130,136],"ul",{},[121,122,123,126],"li",{},[17,124,125],{},"先坐著休息 5 分鐘","——剛走進門、剛爬完樓梯就量，數字一定偏高",[121,128,129],{},"量之前 30 分鐘內不要喝咖啡濃茶、不要抽菸",[121,131,132,135],{},[17,133,134],{},"先上廁所","——憋尿會讓血壓上升",[121,137,138],{},"量的時候不要說話、不要看手機",[31,140,141],{"id":141},"姿勢",[118,143,144,151,157,160,163],{},[121,145,146,147,150],{},"背靠椅背坐好，",[17,148,149],{},"雙腳平放地面","（不要翹腳）",[121,152,153,154],{},"手臂放在桌上，",[17,155,156],{},"壓脈帶與心臟同高",[121,158,159],{},"壓脈帶直接綁在手臂上，不要隔著厚衣服",[121,161,162],{},"鬆緊度：塞得進一根手指的程度",[121,164,165,168],{},[17,166,167],{},"固定同一隻手","——左右手本來就會有差距，換來換去無法比較",[10,170,171],{},"第一次量的話，建議兩隻手都量，之後固定量數字比較高的那隻。",[31,173,174],{"id":174},"兩遍之間要隔一下",[10,176,177,178,181],{},"同一次的兩遍中間，",[17,179,180],{},"間隔 1 到 2 分鐘","，然後取平均。",[10,183,184],{},"連續量會讓數字越量越低（血管被反覆壓迫），不是真的降下來。",[31,186,187],{"id":187},"數字怎麼看",[10,189,190,191,194],{},"一般成人的居家血壓，目前普遍以 ",[17,192,193],{},"130\u002F80 mmHg"," 作為控制目標的參考。",[10,196,197,198,201],{},"但這只是「一般」——",[17,199,200],{},"你家長輩的目標值要問醫師","。年齡、共病、\n其他用藥都會影響，有些長輩刻意不壓太低，因為降太多反而容易頭暈跌倒。",[10,203,204,205,208],{},"比單次數字更重要的是",[17,206,207],{},"趨勢","：",[118,210,211,214,220],{},[121,212,213],{},"單次偏高不必緊張，可能只是剛剛爬了樓梯",[121,215,216,219],{},[17,217,218],{},"連續幾天都比平常高","才是要注意的訊號",[121,221,222],{},"突然下降也一樣值得注意，特別是伴隨頭暈的時候",[31,224,225],{"id":225},"一定要記下來",[10,227,228],{},"量了不記，等於沒量。",[10,230,231],{},"回診時醫師問「在家量大概多少」，「大概一百三」和「這兩週早上平均\n138\u002F85、晚上 128\u002F78，上週三有一天到 160」是完全不同的資訊——\n後者才可能導致用藥調整。",[10,233,234,235,20],{},"記錄方式不拘，紙本、手機備忘錄都可以。重點是",[17,236,237],{},"回診時帶得出來",[31,239,240],{"id":240},"什麼時候該立刻就醫",[10,242,243],{},"以下情況不要等回診：",[118,245,246,249,255],{},[121,247,248],{},"收縮壓持續超過 180 或舒張壓超過 110",[121,250,251,252],{},"血壓高的同時伴隨",[17,253,254],{},"胸痛、呼吸困難、劇烈頭痛、意識不清、單側無力",[121,256,257],{},"突然大幅下降並伴隨頭暈、快要昏倒",[10,259,260],{},"最後一項尤其重要——長輩因血壓過低而跌倒，後果常常比高血壓本身嚴重。",[31,262,263],{"id":263},"有我顧怎麼幫上忙",[10,265,266],{},"記錄這件事，長輩自己維持不容易，子女在外地也看不到。",[10,268,269],{},"有我顧的做法是讓長輩在 LINE 直接傳一則訊息：",[271,272,277],"pre",{"className":273,"code":275,"language":276},[274],"language-text","血壓 128 82\n","text",[278,279,275],"code",{"__ignoreMap":280},"",[10,282,283],{},"就記錄下來了。不用開任何頁面、不用登入、不用學新的操作。",[10,285,286],{},"子女端則會看到累積的趨勢圖，回診前可以連同用藥情況一起產生摘要\n帶進診間。",[10,288,289,290,295],{},"延伸閱讀：〈",[291,292,294],"a",{"href":293},"\u002Fblog\u002Fclinic-visit-preparation","陪長輩回診前，先準備這四件事","〉",[297,298],"hr",{},[10,300,301],{},[302,303,304],"em",{},"本文為一般健康資訊整理，不能取代醫師診斷。血壓的目標值與用藥調整，\n請務必與長輩的主治醫師討論。",{"title":280,"searchDepth":306,"depth":307,"links":308},2,3,[309,310,311,312,313,314,315,316],{"id":33,"depth":306,"text":34},{"id":113,"depth":306,"text":113},{"id":141,"depth":306,"text":141},{"id":174,"depth":306,"text":174},{"id":187,"depth":306,"text":187},{"id":225,"depth":306,"text":225},{"id":240,"depth":306,"text":240},{"id":263,"depth":306,"text":263},"2026-08-09","在家量的血壓比診間更能反映真實狀況，但量錯就沒有意義。722 原則、正確姿勢、常見錯誤，以及數字該記下來的理由。",false,"md",{},true,"\u002Fblog\u002Fhome-blood-pressure",{"title":5,"description":318},"blog\u002Fhome-blood-pressure",[327,328],"健康紀錄","血壓",null,"WB2sTHD3DHvlv86blzzWeFJzUAaDHF37GBf4wRNjdB8"]