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婴幼儿袖带相关的血压记录误差

Cuff-associated errors of blood pressure recording in infants and toddlers.

作者信息

Leumann E P, Häller V, Spiess B, Arbenz U

出版信息

Clin Exp Hypertens A. 1986;8(4-5):605-10. doi: 10.3109/10641968609046577.

DOI:10.3109/10641968609046577
PMID:3757282
Abstract

As commercially available cuffs are unsatisfactory, systolic blood pressure (BP) was measured in 88 children aged less than 4 years using a conventional Velcro self-adhesive cuff with inflatable bladder. Results were compared with the "separate bladder" method (where the inflatable bladder is wrapped around the arm and is held by a separate Velcro-band), the Pedisphyg cuff and, in 10 patients, with intra-arterial recording. The last 3 methods gave nearly identical results. In contrast, conventional cuffs with a 4 cm and a 5.5 cm wide bladder considerably over-estimated systolic BP, by 13.3 mm Hg (range -2 to 30) for bladder width 4 cm, and by 13.1 mm Hg (range 4 to 22) for bladder width 5.5 cm, respectively. The conventional bladder-cuff thus yields grossly inaccurate results in young children and should be replaced by an alternative method, e.g. the "separate bladder".

摘要

由于市售的袖带并不理想,我们使用带有可充气气囊的传统尼龙搭扣自粘式袖带,对88名4岁以下儿童测量了收缩压(BP)。将结果与“分体气囊”法(可充气气囊缠绕在手臂上,由单独的尼龙搭扣带固定)、Pedisphyg袖带进行比较,并在10名患者中与动脉内记录法进行比较。后三种方法得出的结果几乎相同。相比之下,气囊宽度为4厘米和5.5厘米的传统袖带显著高估了收缩压,气囊宽度4厘米时高估了13.3毫米汞柱(范围为-2至30),气囊宽度5.5厘米时高估了13.1毫米汞柱(范围为4至22)。因此,传统的气囊袖带在幼儿中会产生严重不准确的结果,应该用替代方法取代,例如“分体气囊”法。

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Cuff-associated errors of blood pressure recording in infants and toddlers.婴幼儿袖带相关的血压记录误差
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