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能否使用基于示波法的自动血压计在运动期间测量血压?

Can blood pressure be measured during exercise with an automated sphygmomanometer based on an oscillometric method?

作者信息

Shinohara Tomoyuki, Tsuchida Naoko, Seki Kanako, Otani Tomohiro, Yamane Tatsuya, Ishihara Yamato, Usuda Chinatsu

机构信息

Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Japan.

Rehabilitation Center, Hidaka Hospital, Japan.

出版信息

J Phys Ther Sci. 2017 Jun;29(6):1006-1009. doi: 10.1589/jpts.29.1006. Epub 2017 Jun 7.

Abstract

[Purpose] This study investigated the reliability of an automated sphygmomanometer based on an oscillometric method, when used during exercise. [Subjects and Methods] Ten healthy subjects were included. Blood pressure (BP) was measured with an automated sphygmomanometer based on a cuff-oscillometric method. The experiment consisted of five tests: sitting posture at rest, walking with swinging the upper limbs, walking without swinging the upper limbs, walking on a treadmill, and riding a bicycle ergometer. Right and left brachial artery BP was measured twice at the same times. If the difference in systolic BP on bilateral testing was less than 15 mmHg, it was judged to be accurate, and accurate measurement rates were calculated. [Results] BP could not be measured in most limbs on walking with swinging the upper limbs, walking without swinging the upper limbs, or walking on a treadmill. The accurate measurement rates in bilateral limbs were 95.0% in sitting posture at rest, 0.0% on walking with swinging upper limbs, 5.0% on walking without swinging upper limbs, 15.0% on walking on a treadmill, and 65.0% on riding a bicycle ergometer. [Conclusion] An automated sphygmomanometer based on an oscillometric method was useful for BP measurement only at rest.

摘要

[目的] 本研究调查了基于示波法的自动血压计在运动期间使用时的可靠性。[对象与方法] 纳入10名健康受试者。使用基于袖带示波法的自动血压计测量血压(BP)。实验包括五项测试:静息坐姿、上肢摆动行走、上肢不摆动行走、在跑步机上行走以及骑卧式测力计。在相同时间对左右肱动脉血压各测量两次。若双侧测试的收缩压差值小于15 mmHg,则判定为准确,并计算准确测量率。[结果] 在上肢摆动行走、上肢不摆动行走或在跑步机上行走时,大多数肢体无法测量血压。双侧肢体的准确测量率在静息坐姿时为95.0%,上肢摆动行走时为0.0%,上肢不摆动行走时为5.0%,在跑步机上行走时为15.0%,骑卧式测力计时为65.0%。[结论] 基于示波法的自动血压计仅在静息时可用于血压测量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c481/5468185/d0d0b786662d/jpts-29-1006-g001.jpg

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