Nielsen P E, Larsen B, Holstein P, Poulsen H L
Hypertension. 1983 Jan-Feb;5(1):122-7. doi: 10.1161/01.hyp.5.1.122.
In 59 treated or untreated hypertensive subjects and 52 obese subjects (normotensive or hypertensive), intraarterial blood pressure (BP) was compared to simultaneous auscultatory measurements. In the hypertensive group, arm circumference was less than 35 cm compared to over 35 cm in the obese subjects. The occluding cuffs were 12 x 35 cm and 15 x 43 cm respectively. Mean difference between auscultatory and intraarterial systolic BP (SBP) was among the hypertensive -- 8.8 mm Hg (SDDIFF 9.0 mm Hg, range + 13/ - 28) and among the obese - 3.1 mm Hg (SDDIFF 13.8 mm Hg, range + 19/ - 49). Mean difference auscultatory-intraarterial diastolic BP (DBP) Phase V was among the hypertensive patients + 10.8 mm Hg (SDDIFF 6.8 mm Hg, range + 29/ - 8), and among the obese + 5.5 mm Hg (SDDIFF 7.3 mm Hg, range + 20/ - 10). Thus, a 15 x 43 cm cuff used in obese subjects with an arm circumference exceeding 35 cm gave quite as reliable measurements as a 12 x 35 cm cuff used in hypertensive subjects with "normal" dimension of the upper arm (less than 35 cm). It is emphasized that there is a wide scatter in the interindividual differences, and it is argued that a comparison between auscultatory and intraarterial BP should be performed in patients with poorly controlled hypertension.
在59例接受治疗或未接受治疗的高血压患者以及52例肥胖患者（血压正常或高血压）中，将动脉内血压（BP）与同时进行的听诊测量结果进行了比较。在高血压组中，上臂周长小于35cm，而肥胖患者的上臂周长超过35cm。所用的袖带分别为12×35cm和15×43cm。高血压患者听诊收缩压（SBP）与动脉内收缩压的平均差值为8.8mmHg（标准差差值9.0mmHg，范围为+13/-28），肥胖患者为3.1mmHg（标准差差值13.8mmHg，范围为+19/-49）。高血压患者听诊舒张压（DBP）第V相与动脉内舒张压的平均差值为+10.8mmHg（标准差差值6.8mmHg，范围为+29/-8），肥胖患者为+5.5mmHg（标准差差值7.3mmHg，范围为+20/-10）。因此，对于上臂周长超过35cm的肥胖患者使用15×43cm的袖带所获得的测量结果与上臂“正常”尺寸（小于35cm）的高血压患者使用12×35cm的袖带所获得的测量结果一样可靠。需要强调的是，个体间差异存在很大的离散度，并且有人认为对于血压控制不佳的患者应进行听诊血压与动脉内血压的比较。
