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[正常血压和临界高血压个体中血压测量结果与测量地点及方法的关系]

[Results of blood pressure measurements depending on the place and method of measurement in individuals with normal blood pressure and borderline hypertension].

作者信息

Przestalska-Malkin H, Kupść W, Szcześniewska D

出版信息

Przegl Epidemiol. 1989;43(4):405-14.

PMID:2641167
Abstract

The analysis of systolic (SBP) and diastolic (DBP) blood pressure measurements in 2 positions (sitting, standing) X 2 subsequent measurements (order) X 2 places (right, left arm) was performed on the basis of the Pol-Monica I screening conducted in 1984 yr. There were 1309 examined men and 1327 women aged 35-64 yrs. The mean values of 2 measurements taken in the sitting position on the right arm were used for division of the total sample into 7 categories: 1. normotension, 2. borderline systolic hypertension, 3. borderline diastolic hypertension, 4. borderline systolic-diastolic hypertension, 5. systolic hypertension, 6. diastolic hypertension, 7. systolic-diastolic hypertension. For each sex X blood pressure category the 4-way mixed ANOVA was calculated: persons as random effect and position, order and place as fixed effects. The effects and variance components were estimated and tested. The effects of position, order and persons and interaction position X persons, places X persons and position X persons X places were significant for both sexes, all BP categories for SBP as well as DBP measurements.

摘要

基于1984年进行的Pol-Monica I筛查,对2个测量位置(坐姿、站姿)×2次后续测量(顺序)×2个部位(右臂、左臂)的收缩压(SBP)和舒张压(DBP)测量值进行了分析。共有1309名35至64岁的男性和1327名女性接受了检查。取右臂坐姿下2次测量的平均值,将总样本分为7类:1. 正常血压;2. 临界收缩期高血压;3. 临界舒张期高血压;4. 临界收缩期-舒张期高血压;5. 收缩期高血压;6. 舒张期高血压;7. 收缩期-舒张期高血压。对于每种性别×血压类别,计算了四因素混合方差分析:将个体作为随机效应,将测量位置、测量顺序和测量部位作为固定效应。估计并检验了效应和方差成分。测量位置、测量顺序和个体以及测量位置×个体、测量部位×个体和测量位置×个体×测量部位的交互作用对男女两性、所有血压类别中的SBP和DBP测量值均有显著影响。

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