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[成人血压值取决于测量方法]

[Value of blood pressure of adults depending on method of measurement].

作者信息

Wielemborek-Musiał Katarzyna, Jegier Anna

机构信息

Katedra Medycyny Społecznej i Zapobiegawczej, Zakład Medycyny Sportowej Uniwersytetu Medycznego, łodzi.

出版信息

Pol Arch Med Wewn. 2006 Jun;115(6):529-34.

Abstract

UNLABELLED

Hypertension is currently one of the most common diseases of circulation system within Polish population. This fact implies an urgent need of introducing efficient prevention concerning proper blood pressure measurement not only in medical centers but at home of patients as well. Blood pressure measurement of brachial taking by mercurial sphygmomanometer is an advisable method recommended by World Health Organization and International Society of Hypertension. In practice, however, other methods are used by patients and blood pressure is often of measure wrist. THE AIM of the research was the comparison of results of different method of measurement blood pressure of adults. The measurement was taken with three types of instruments at different parts of upper limb: arm and wrist.

MATERIAL AND METHODS

105 persons, 75 men and 30 women at age 46,3+/-12,1 years, were examined by taking the measurement of vascular blood pressure at rest. The measurement was taken at left upper limb after fifteen minutes of rest. The first measurement was taken with mercurial sphygmomanometer. Subsequently, the automatic wrist vascular blood pressure instrument made by OMRON R-1 was used; third measurement: automatic brachial vascular blood pressure instrument made by OMRON M5-1.

RESULTS

Average values of systolic vascular blood pressure measured with mercurial sphygmomanometer were 122,1+/-18,9 mmHg, diastolic pressure were 81,7+/-9,9 mmHg. Average values of systolic vascular blood pressure measured with automatic wrist vascular blood pressure instrument were higher 131,3+/-21,0 mmHg, diastolic pressure were 85,3 + 12,1 mmHg (p<0,05). Average values of systolic vascular blood pressure measured with automatic brachial vascular blood pressure instrument were higher too: 129,6+/-19,9 mmHg, diastolic pressure were 80,5+/-11,4 mmHg (p<0,05). Measurements taken with automatic instrument were considerably statistically higher than with mercurial sphygmomanometer.

CONCLUSION

  1. Measurements of vascular blood pressure at rest taken with automatic instruments (wrist and brachial one) were considerably higher than with mercurial sphygmomanometer. The differences were mainly concerning the values of systolic vascular blood pressure. The place of measurement (arm and wrist) had no influence on the result. 2. In comparison to mercurial sphygmomanometer, the error statistically essential must be taken into account during the interpretation of results obtained by measurement taken with brachial and wrist instruments. The instruments may be used for comparison of the successive results of the same person only. 3. The measurements taken with mercurial sphygmomanometer should remain a basic tool in hypertension diagnosis and control.
摘要

未标注

高血压是波兰人群中目前最常见的循环系统疾病之一。这一事实意味着迫切需要不仅在医疗中心,而且在患者家中引入有关正确测量血压的有效预防措施。使用汞柱式血压计测量肱动脉血压是世界卫生组织和国际高血压学会推荐的一种可取方法。然而,在实际中,患者使用的是其他方法,并且经常测量手腕血压。本研究的目的是比较成人不同血压测量方法的结果。使用三种类型的仪器在上肢不同部位(手臂和手腕)进行测量。

材料与方法

对105人进行了检查,其中75名男性和30名女性,年龄为46.3±12.1岁,测量静息时的血管血压。休息15分钟后在左上肢进行测量。第一次测量使用汞柱式血压计。随后,使用欧姆龙R-1型自动手腕血管血压仪;第三次测量:使用欧姆龙M5-1型自动肱动脉血管血压仪。

结果

用汞柱式血压计测量的收缩期血管血压平均值为122.1±18.9 mmHg,舒张压为81.7±9.9 mmHg。用自动手腕血管血压仪测量的收缩期血管血压平均值较高,为131.3±21.0 mmHg,舒张压为85.3±12.1 mmHg(p<0.05)。用自动肱动脉血管血压仪测量的收缩期血管血压平均值也较高:129.6±19.9 mmHg,舒张压为80.5±11.4 mmHg(p<0.05)。用自动仪器进行的测量在统计学上显著高于用汞柱式血压计进行的测量。

结论

  1. 使用自动仪器(手腕和肱动脉仪器)测量静息时的血管血压显著高于使用汞柱式血压计。差异主要在于收缩期血管血压值。测量部位(手臂和手腕)对结果没有影响。2. 与汞柱式血压计相比,在解释用肱动脉和手腕仪器测量获得的结果时,必须考虑到统计学上显著的误差。这些仪器仅可用于比较同一个人的连续测量结果。3. 用汞柱式血压计进行的测量应仍然是高血压诊断和控制的基本工具。

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