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健康清醒犬血压测量中多普勒超声检查与高清示波法的比较。

Comparison of Doppler ultrasonography and high-definition oscillometry for blood pressure measurements in healthy awake dogs.

作者信息

Chetboul Valérie, Tissier Renaud, Gouni Vassiliki, de Almeida Virginie, Lefebvre Hervé P, Concordet Didier, Jamet Nathalie, Sampedrano Carolina Carlos, Serres François, Pouchelon Jean-Louis

机构信息

Unité de Cardiologie d'Alfort, Unité Mixte de Recherche INSERM U955, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France.

出版信息

Am J Vet Res. 2010 Jul;71(7):766-72. doi: 10.2460/ajvr.71.7.766.

Abstract

OBJECTIVE

To determine the intra- and interobserver variability of systolic arterial pressure (SAP) and diastolic arterial pressure (DAP) measurements obtained with 2 indirect methods in awake dogs and percentage of successful measurements.

ANIMALS

6 healthy conscious adult dogs.

PROCEDURES

4 observers with different levels of training measured SAP and DAP on 4 days by use of Doppler ultrasonography (DU) and high-definition oscillometry (HDO). The examinations were randomized. Measurements for each technique were recorded 5 consecutive times, and mean values (total, 720 measurements) were used for statistical analysis.

RESULTS

All within- and between-day coefficients of variation (CVs) for SAP were < 15% irrespective of the observer or method (HDO, 3.6% to 14.1%; DU, 4.1% to 12.4%). Conversely, half the CVs for DAP were > 15% with the highest within- and between-day CVs obtained by the least experienced observer by use of DU (19.5% and 25.9%, respectively). All attempts with HDO were successful, whereas DAP could not be measured by use of DU by the least experienced observer in 17% of attempts.

CONCLUSIONS AND CLINICAL RELEVANCE

SAP may be assessed in healthy dogs by use of DU and HDO with good repeatability and reproducibility after a short period of training. Conversely, the variability of DAP is higher and longer training is required to assess DAP via DU than via HDO.

摘要

目的

确定在清醒犬中使用两种间接方法测量收缩压(SAP)和舒张压(DAP)时观察者内和观察者间的变异性以及成功测量的百分比。

动物

6只健康的成年清醒犬。

方法

4名经过不同程度培训的观察者在4天内使用多普勒超声(DU)和高清示波法(HDO)测量SAP和DAP。检查是随机的。每种技术连续记录5次测量值,平均值(共720次测量)用于统计分析。

结果

无论观察者或方法如何(HDO,3.6%至14.1%;DU,4.1%至12.4%),SAP的所有日内和日间变异系数(CV)均<15%。相反,DAP的CV有一半>15%,经验最少的观察者使用DU获得的日内和日间CV最高(分别为19.5%和25.9%)。HDO的所有测量尝试均成功,而经验最少的观察者使用DU在17%的尝试中无法测量DAP。

结论及临床意义

经过短时间培训后,使用DU和HDO可在健康犬中很好地重复和再现性地评估SAP。相反,DAP的变异性较高,与通过HDO评估DAP相比,通过DU评估DAP需要更长时间的培训。

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