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[运动试验期间及之后高血压患者血压测量的可重复性]

[Reproducibility of blood pressure measurements in hypertensives during and after ergometry].

作者信息

Franz I W, Lohmann F W

出版信息

Dtsch Med Wochenschr. 1982 Sep 17;107(37):1379-83. doi: 10.1055/s-2008-1070133.

DOI:10.1055/s-2008-1070133
PMID:7117149
Abstract

On repeated measurement hypertensives have greater swings in resting blood pressure than those with normal pressures. In 20 untreated hypertensives (WHO stage I), average age 35.8 years, blood pressures were measured during and after ergometry (50-100 Watt) to see whether there were any variations during the day and whether repeat measurements were affected by adaptation. Blood pressure measurements repeated three times during ergometry, gave good agreement above 1 Watt/kg body weight, with a mean of 203/116 mm Hg at 8 a.m., 200/114 mm Hg at 10 a.m. and 203/113 mm Hg at 4 p.m., although resting blood pressures at times differed significantly. Even in patients with labile or borderline hypertension, blood pressure measurement during and after ergometry without exception made it possible to assign them to the hypertensive range, which would not have been possible or only to a limited extent at rest. Measurement of blood pressure during and after standardised ergometry is thus superior to resting blood pressure measurements in the identification of hypertensives.

摘要

在重复测量时,高血压患者静息血压的波动幅度比血压正常者更大。对20例未经治疗的高血压患者(世界卫生组织I期)进行研究,平均年龄35.8岁,在进行功率计运动测试(50 - 100瓦)期间及之后测量血压,以观察一天中血压是否有变化,以及重复测量是否受适应性影响。在功率计运动测试期间重复测量血压三次,在高于1瓦/千克体重时测量结果一致性良好,上午8点平均血压为203/116毫米汞柱,上午10点为200/114毫米汞柱,下午4点为203/113毫米汞柱,尽管静息血压有时差异显著。即使是血压不稳定或临界高血压患者,在功率计运动测试期间及之后测量血压无一例外地都能将他们归入高血压范围,而在静息状态下这可能无法做到或只能在有限程度上做到。因此,在识别高血压患者方面,标准化功率计运动测试期间及之后的血压测量优于静息血压测量。

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