Tochikubo O, Ochiai H, Oota T, Miyajima E, Kaneko Y
Second Department of Internal Medicine, Yokohama City University, School of Medicine, Japan.
Jpn Circ J. 1987 Oct;51(10):1174-83. doi: 10.1253/jcj.51.1174.
The intra-arterial blood pressure (BP) was measured during 24 hours on 52 patients with essential hypertension using a portable device. The minimum BP inherent to each subject (base BP) was determined from the systolic and diastolic BP histograms during sleep. In this study the systolic and diastolic BPs were presented as a mean BP (BP) and a base BP, and the average of BPs during waking hours was considered as the sum of the base BP and the additional BP increment. The clinical significance of the base BP and BP increment was examined by comparing them with the results of clinical examinations. The comparison showed that the base BP was closely related with the left ventricular hypertrophy and severity of hypertension, while the BP increment correlated with the baroreflex sensitivity and plasma norepinephrine concentration. In this paper, a new tonometry was developed to indirectly record the BP of the superficial temporal artery. The tonometry correlated well with the intra-arterial BP measurement, and was available for the indirect base BP evaluation at an outpatient-clinic.
使用便携式设备对52例原发性高血压患者进行了24小时的动脉内血压（BP）测量。根据睡眠期间的收缩压和舒张压直方图确定每个受试者的最低血压（基础血压）。在本研究中，收缩压和舒张压以平均血压（BP）和基础血压表示，清醒时间的血压平均值被视为基础血压与额外血压增量之和。通过将基础血压和血压增量与临床检查结果进行比较，检验了它们的临床意义。比较结果表明，基础血压与左心室肥厚和高血压严重程度密切相关，而血压增量与压力反射敏感性和血浆去甲肾上腺素浓度相关。本文开发了一种新的眼压测量法，用于间接记录颞浅动脉的血压。该眼压测量法与动脉内血压测量结果相关性良好，可在门诊用于间接基础血压评估。
