Grüne S, Spühler T, Edmonds D, Binswanger B, Weisser B, Mendgen T, Vetter W
Departement für Innere Medizin, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1992 Jan 28;81(5):103-5.
An increasing number of devices for self-assessment of blood pressure has been developed over the past years. Accepted international standards for evaluation of such devices are still lacking. A new apparatus (T88, Marshall Electronics) measuring blood pressure on digital arteries by oscillometry was tested for accuracy. Comparative measurements in 36 patients indicated position-dependent results with a reasonable correlation with the measurements taken on the upper arm only if the device was used at the level of the heart. Significant differences for systolic values were noted on different phalanges. In a last series of measurements, comparing values obtained about the basal phalanges of the index positioned at the level of the heart, significant differences were found for systolic and diastolic values compared to the traditional measurement. The use of this device for evaluation of hypertension, monitoring of treatment or use in studies is thus not recommended.
在过去几年里,已经开发出越来越多的用于自我血压评估的设备。目前仍缺乏被国际认可的此类设备评估标准。对一种通过示波法测量指动脉血压的新仪器(T88,马歇尔电子公司)进行了准确性测试。对36名患者的对比测量表明,该测量结果与体位有关,只有当该设备在心脏水平使用时,才与在上臂进行的测量有合理的相关性。在不同指骨上观察到收缩压值存在显著差异。在最后一系列测量中,比较在心脏水平位置测量的食指近节指骨的血压值,发现与传统测量相比,收缩压和舒张压值存在显著差异。因此,不建议使用该设备来评估高血压、监测治疗或用于研究。