Braam Richard L, Aslan Benjamin, Thien Theo
Department of Internal Medicine, University Medical Centre St. Radboud, Nijmegen, The Netherlands.
Blood Press Monit. 2004 Feb;9(1):25-30. doi: 10.1097/00126097-200402000-00006.
To determine the accuracy of the Omron RX-M, a device measuring blood pressure oscillometrically at the wrist.
In 89 subjects (mean age 55+/-14 years) blood pressure measurements at the wrist with the Omron RX-M were compared to sequential blood pressure measurements with a mercury sphygmomanometer at the (same) upper-arm and to simultaneous measurements with the Omron HEM-705 CP at the opposite arm.Measurements with analyzed according to the British Hypertension Society (BHS) - protocol 1993, to the protocol of the Association for the Advancement of Medical Instrumentation (AAMI) and (retrospectively) to the new 'International Protocol'.
Mean differences (+/-SD) between the measurements with the mercury sphygmomanometer and the Omron RX-M were -7.5+/-8.4 mmHg for diastolic blood pressure (DBP) and -2.5+/-12.2 mmHg for systolic blood pressure (SBP), thus not fulfilling the AAMI-criteria (< or =5+/-8). According to the BHS-criteria a grade D was achieved for both DBP and SBP. Compared to the Omron HEM 705 CP results were -6.3+/-7.1 for DBP (grade D) and -4.1+/-12.7 for SBP (grade D). The Omron RX-M also failed to pass the new 'International Protocol' in phase 1.
Although easy to use, based on this study the Omron RX-M can not be recommended to determine blood pressure accurately.
确定欧姆龙RX - M型腕式电子血压计测量血压的准确性。
选取89名受试者(平均年龄55±14岁),将用欧姆龙RX - M型腕式电子血压计测量手腕血压的结果,与用汞柱式血压计在上臂(同一位置)连续测量血压的结果以及用欧姆龙HEM - 705 CP型电子血压计在对侧手臂同时测量血压的结果进行比较。测量结果依据英国高血压学会(BHS)1993年方案、医疗仪器促进协会(AAMI)方案以及(回顾性地)新的“国际方案”进行分析。
汞柱式血压计与欧姆龙RX - M型腕式电子血压计测量结果的平均差值(±标准差),舒张压(DBP)为 - 7.5±8.4 mmHg,收缩压(SBP)为 - 2.5±12.2 mmHg,因此未达到AAMI标准(≤5±8)。根据BHS标准,DBP和SBP均为D级。与欧姆龙HEM 705 CP型电子血压计相比,DBP差值为 - 6.3±7.1(D级),SBP差值为 - 4.1±12.7(D级)。欧姆龙RX - M型腕式电子血压计在第一阶段也未通过新的“国际方案”。
尽管欧姆龙RX - M型腕式电子血压计使用方便,但基于本研究,不推荐使用该仪器准确测量血压。