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根据改良的英国高血压学会方案,欧姆龙RX-M型自动血压测量仪在手腕处测量血压的准确性。

Accuracy of the Omron RX-M, an automated blood pressure measuring device, measuring blood pressure at the wrist, according to a modified British Hypertension Society protocol.

作者信息

Braam Richard L, Aslan Benjamin, Thien Theo

机构信息

Department of Internal Medicine, University Medical Centre St. Radboud, Nijmegen, The Netherlands.

出版信息

Blood Press Monit. 2004 Feb;9(1):25-30. doi: 10.1097/00126097-200402000-00006.

Abstract

OBJECTIVE

To determine the accuracy of the Omron RX-M, a device measuring blood pressure oscillometrically at the wrist.

METHODS

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'.

RESULTS

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.

CONCLUSION

Although easy to use, based on this study the Omron RX-M can not be recommended to determine blood pressure accurately.

摘要

目的

确定欧姆龙RX - M型腕式电子血压计测量血压的准确性。

方法

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。

结果

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”。

结论

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。

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