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测量间隔对重复听诊血压测量值的影响。

Effects of measurement intervals on the values of repeated auscultatory blood pressure measurements.

机构信息

Technology Development HQ, Omron Healthcare Co., Ltd., Kyoto, Japan.

Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan.

出版信息

Clin Exp Hypertens. 2020;42(2):105-109. doi: 10.1080/10641963.2019.1583243. Epub 2019 Feb 27.

Abstract

: For repeated measurements of blood pressure (BP) using the auscultatory method, current guidelines recommend intervals of 1-2 minutes; however, evidence to support this recommendation is insufficient. In the present study, the effects of intervals among repeated BP measurements using the auscultatory method were evaluated.: Systolic and diastolic BPs were measured using the auscultatory method in 37 participants. The measurements were repeated 5 times each at intervals of 15, 30, 60, 90, and 120 seconds. The changes in the BP along with the increasing the number of repetitions were assessed at each measurement interval using a linear mixed model.: With an increasing number of measurements, the systolic and diastolic BPs showed significant progressive decrease and increase (p < 0.05), respectively, when the measurement interval was 15 seconds. However, the precision of BP measurements was not affected by performing the measurements at intervals of 30 seconds or longer.: Repeated BP measurements using the auscultatory method need to have an interval of at least 30 seconds, which is shorter than the intervals recommended by the current guidelines.

摘要

: 目前的指南建议使用听诊法重复测量血压(BP)时的间隔为 1-2 分钟;然而,支持这一建议的证据还不够充分。在本研究中,评估了使用听诊法重复测量 BP 时的间隔对结果的影响。: 37 名参与者使用听诊法测量收缩压和舒张压。在每个间隔 15、30、60、90 和 120 秒时重复测量 5 次。在每个测量间隔使用线性混合模型评估随着重复次数的增加血压的变化。: 随着测量次数的增加,当测量间隔为 15 秒时,收缩压和舒张压分别显示出显著的逐渐下降和增加(p<0.05)。然而,当测量间隔为 30 秒或更长时间时,BP 测量的精度不受影响。: 使用听诊法重复测量 BP 时,测量间隔至少需要 30 秒,短于当前指南推荐的间隔。

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