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三种测量未镇静犬血压方法的临床比较。

Clinical comparison of three methods to measure blood pressure in nonsedated dogs.

作者信息

Stepien R L, Rapoport G S

机构信息

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI 53706, USA.

出版信息

J Am Vet Med Assoc. 1999 Dec 1;215(11):1623-8.

Abstract

OBJECTIVE

To determine arterial blood pressure in client-owned dogs, using direct arterial puncture, oscillometry, and Doppler ultrasonography in a clinical setting.

DESIGN

Prospective study.

ANIMALS

8 clinically normal client-owned dogs.

PROCEDURE

Blood pressures of nonsedated dogs were measured simultaneously, using each of the 3 methods. Mean values obtained were compared with published mean values. Ability of noninvasive methods (Doppler ultrasonography and oscillometry) to accurately predict results of the invasive method, and relationships between blood pressure and age, body weight, and degree of patient anxiety were determined.

RESULTS

Calculated ranges of values (mean +/- 2 SD) determined by direct arterial puncture were: systolic pressure, 114 to 194 mm Hg; diastolic pressure, 66 to 102 mm Hg; and mean pressure, 85 to 129 mm Hg. Ranges determined by use of oscillometry were: systolic, 110 to 190 mm Hg; diastolic, 35 to 107 mm Hg; and mean, 78 to 138 mm Hg. Ultrasonographic and oscillometric values did not accurately predict direct values, but mean values of systolic and mean pressures were similar among methods. Relationships were not detected between age or body weight and blood pressure. Significant differences in blood pressure were not detected between anxious and nonanxious dogs.

CONCLUSIONS AND CLINICAL RELEVANCE

Mean values of systolic, diastolic, and mean arterial blood pressure measured in nonsedated client-owned dogs, using invasive and noninvasive methods in a clinical setting, are comparable with those determined for acclimatized, trained, or sedated dogs. However, results of noninvasive methods may not accurately reflect direct values.

摘要

目的

在临床环境中,使用直接动脉穿刺、示波法和多普勒超声检查来测定客户拥有犬的动脉血压。

设计

前瞻性研究。

动物

8只临床正常的客户拥有犬。

步骤

使用三种方法同时测量未镇静犬的血压。将获得的平均值与已发表的平均值进行比较。确定非侵入性方法(多普勒超声检查和示波法)准确预测侵入性方法结果的能力,以及血压与年龄、体重和患者焦虑程度之间的关系。

结果

通过直接动脉穿刺确定的值的计算范围(平均值±2标准差)为:收缩压,114至194毫米汞柱;舒张压,66至102毫米汞柱;平均压,85至129毫米汞柱。使用示波法确定的范围为:收缩压,110至190毫米汞柱;舒张压,35至107毫米汞柱;平均压,78至138毫米汞柱。超声检查值和示波法值不能准确预测直接测量值,但三种方法的收缩压和平均压平均值相似。未发现年龄或体重与血压之间存在关系。焦虑犬和非焦虑犬之间未检测到血压有显著差异。

结论及临床意义

在临床环境中,使用侵入性和非侵入性方法测量未镇静客户拥有犬的收缩压、舒张压和平均动脉血压平均值,与适应环境、经过训练或镇静犬的测量值相当。然而,非侵入性方法的结果可能无法准确反映直接测量值。

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