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使用三国(Mikuni)测力计和斯捷潘尼克(Stepanik)动脉张力计对眼动脉压进行的比较测量(作者译)

[Comparative measurements of the ophthalmic arterial pressure using the Mikuni dynamometer and the Stepanik-arteriotonograph (author's transl)].

作者信息

Krieglstein G K, da Silva F A

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1979;212(2):77-91. doi: 10.1007/BF00587599.

Abstract

Comparative measurements of the ophthalmic arterial pressure have been performed in 102 eyes using the Mikuni dynamometer and the Stepanik-Arteriotonograph. There was a linear correlation between the results obtained with both methods (P less than 0.001). Ophthalmic arterial blood pressures taken with the Stepanik-Arteriotonograph (SAT) were on the average 23 mmHg higher than with the Mikuni suction cup dynamometer. The mean ophthalmic blood pressure using the SAT was 88% of the mean brachial arterial pressure, whereas it was 70% with the Mikuni instrument. Differences between duplicate readings in the same eye were higher with the SAT than with the Mikuni dynamometer (P less than 0.001). Differences between both eyes in one individual were on the average greater using the SAT than the Mikuni instrument (P less than 0.001) and suction cup dynamometry was tolerated better subjectively than ophthalmic arteriotonography. A different reference point for taking arterial blood pressure with both methods is discussed. In arteriotonography the point of pressure measurement is more central than in suction cup dynamometry, because of the different method of increasing intraocular pressure in each procedure. The pros and cons of both methods are critically discussed.

摘要

使用三国产测力计和斯特帕尼克动脉张力计对102只眼睛进行了眼动脉压的对比测量。两种方法所获结果之间存在线性相关性(P<0.001)。用斯特帕尼克动脉张力计(SAT)测得的眼动脉血压平均比用三国产吸盘测力计测得的高23 mmHg。使用SAT测得的平均眼血压为平均肱动脉血压的88%,而使用三国产仪器时为70%。同一眼睛重复读数之间的差异,SAT比三国产测力计更大(P<0.001)。同一个体双眼之间的差异,平均而言SAT比三国产仪器更大(P<0.001),而且吸盘式测力法在主观上比眼动脉张力测量法更易耐受。讨论了两种方法测量动脉血压时不同的参考点。在动脉张力测量法中,压力测量点比吸盘式测力法更靠近中心,这是因为每个操作中增加眼内压的方法不同。对两种方法的优缺点进行了批判性讨论。

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