Beales Debbie
Greater Peterborough Primary Care Partnership.
Br J Community Nurs. 2005 Jul;10(7):334-8. doi: 10.12968/bjcn.2005.10.7.18331.
Increasingly, automated blood pressure devices are replacing mercury sphygmomanometers to monitor blood pressure in primary care settings. Practitioners have raised questions about the accuracy of these new devices, so a mini-review was undertaken to examine the evidence. A systematic search of the Medline database identified seven studies that were of sufficient quality. Eight devices were examined, all of which had passed validation procedures, achieving A or B grades according to current protocols. All were 'recommended for clinical use', despite the tendency of the devices to produce inaccurate measurements in high blood pressure ranges. The review demonstrates that 'accuracy' of the new devices does not equate to the accustomed accuracy of the mercury sphygmomanometer.
在基层医疗环境中,自动血压测量设备越来越多地取代水银血压计来监测血压。从业者对这些新设备的准确性提出了疑问,因此进行了一项小型综述以审查相关证据。对Medline数据库进行系统检索后确定了七项质量足够的研究。对八种设备进行了检查,所有这些设备均已通过验证程序,根据当前协议获得了A或B级。尽管这些设备在高血压范围内往往会产生不准确的测量结果,但所有设备均“推荐用于临床”。该综述表明,新设备的“准确性”并不等同于水银血压计惯有的准确性。