Abstract: Objective To evaluate the effect of home blood pressure monitoring(HBPM) in diagnosing and managing hypertension in hemodialysis patients. Methods The data of predialysis clinic blood pressure(CBP)and home blood pressure (HBP) in 101 hemodialysis patients were compared. The change in CBP and HBP before and after intervention was analyzed. Results The level of HBP was lower than CBP(140.5±13.6/76.2±12.8mmHg vs 147.1±14.6/81.5±15.9mmHg，P＜0.05).67(66.3%) patients’CBP was over 140/90mmHg.51(50.5%)patients were diagnosed with hypertension by HBPM. The levels of HBP and CBP significantly decreased after intervention(to down-requlate dry body weight and/or adjust antihypertensive drugs)(P＜0.05). Conclusions The level of HBP in hemodialysis
patients differs from CBP.These data provide support for the use of HBP monitoring for the diagnosis and management of hypertension in hemodialysis patients.

Key words: home blood pressure monitoring, predialysis clinic blood pressure, hemodialysis, hypertension