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识别临界高血压患者:各种血压测量方法的比较价值

Identifying borderline hypertensives: comparative value of various blood pressure measurements.

作者信息

Hull D H, Wolthius R A, Fischer J R, Triebwasser J H, Curtis J T, McAfoose D A

出版信息

Aviat Space Environ Med. 1981 Jul;52(7):399-403.

PMID:7271671
Abstract

Ambulant male military aircrew patients (n = 299) were divided into two groups based on historic evidence of normotension (N) or of untreated borderline essential hypertension (BH). All patients had their blood pressure (BP) measured under various conditions and body positions. Results were analyzed to assess the capability of each BP measurement condition to assign patients correctly to their appropriate group. Clinical BP (physician-recorded with patient seated) and orthostatic stand BP (technician-recorded) showed best sensitivity and acceptable specificity. By incorporating the results of both these measurement conditions, a predictor approximating 90% for most BH and N patients was obtained. Use of these two measurements should enable recognition of most BH patients at a single evaluation.

摘要

行动自如的男性军事飞行人员患者(n = 299)根据既往血压正常(N)或未经治疗的临界原发性高血压(BH)的证据分为两组。所有患者在不同条件和体位下测量血压(BP)。分析结果以评估每种血压测量条件将患者正确分类到相应组别的能力。临床血压(医生记录,患者坐位)和直立位血压(技术人员记录)显示出最佳敏感性和可接受的特异性。通过结合这两种测量条件的结果,对于大多数BH和N患者获得了接近90%的预测指标。使用这两种测量方法应能在单次评估中识别出大多数BH患者。

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