Maxwell G F, Pruijt J F, Arntzenius A C
Int J Epidemiol. 1985 Sep;14(3):468-72. doi: 10.1093/ije/14.3.468.
In this study the applicability of the conical cuff in the measurement of arterial blood pressure in the general population was investigated. A wide range of arm circumferences was used for non-invasive comparative measurements of brachial artery pressures, using the standard rectangular sphygmomanometer cuffs and a recently developed conical cuff. In previous studies the conical cuff proved to reflect arterial blood pressure more accurately in obese patients than the standard rectangular cuffs. With the conical cuff lower systolic and diastolic pressure readings were obtained than with the rectangular cuffs and this proved to be independent of arm circumference. The lower pressure results in obese individuals were probably related to the fact that the conical cuff generally was found to fit better on larger upper arms than the large rectangular cuff. We conclude that in all likelihood blood pressure is more accurately measured in obese people with the use of a conical cuff and therefore warrants further investigation.
在本研究中，对锥形袖带在普通人群动脉血压测量中的适用性进行了调查。使用标准的矩形血压计袖带和最近开发的锥形袖带，针对广泛的臂围进行了肱动脉血压的无创对比测量。在先前的研究中，锥形袖带在肥胖患者中被证明比标准矩形袖带能更准确地反映动脉血压。使用锥形袖带获得的收缩压和舒张压读数低于矩形袖带，且这一情况被证明与臂围无关。肥胖个体中较低的血压结果可能与以下事实有关：一般发现锥形袖带在较大上臂上的贴合度优于大型矩形袖带。我们得出结论，很有可能使用锥形袖带能更准确地测量肥胖人群的血压，因此值得进一步研究。
