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[24小时血压监测。一种新型自动装置的验证]

[24-hour blood pressure monitoring. Validation of a new automatic device].

作者信息

Brügmann U, Luther M

机构信息

Medizinische Klinik I, Kreiskrankenhaus München-Pasing.

出版信息

Fortschr Med. 1991 Dec 10;109(35):717-20.

PMID:1774004
Abstract

To validate a new miniaturized 24-h blood pressure measuring device, 42 monitorings were carried out in 20 patients in the following manner: simultaneously with the automatic measurement, the physician involved measured the blood pressure in the usual manner with stethoscope and sphygmomanometer. The following very close agreement was found: Systolic: mean values 148 +/- 18/147 +/- 18 mmHg (Rxy = 0.98); diastolic: mean values 78 +/- 11/80 +/- 10 mmHg (Rxy = 0.96). These small differences show that, on account of its very high sensitivity, the Accutracker II recognizes the onset of the systolic k sound earlier on, and is capable of still detecting k sounds down to the lower diastolic pressures. These data, together with the good handling of the miniaturized device reveal it to be very well suited for the monitoring of anti-hypertensive treatment, thus helping to avoid unnecessary medication.

摘要

为验证一种新型小型化24小时血压测量装置,对20名患者进行了42次监测,具体方式如下:在自动测量的同时,参与的医生用听诊器和血压计以常规方式测量血压。结果发现以下非常接近的一致性:收缩压:平均值为148±18/147±18 mmHg(Rxy = 0.98);舒张压:平均值为78±11/80±10 mmHg(Rxy = 0.96)。这些微小差异表明,由于Accutracker II具有非常高的灵敏度,它能更早地识别收缩期k音的起始,并且能够在较低的舒张压水平仍检测到k音。这些数据,再加上该小型化装置易于操作,表明它非常适合用于监测抗高血压治疗,从而有助于避免不必要的药物治疗。

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