Kugler J, Schmitz N, Seelbach H, Rollnik J, Krüskemper G M
Department of Medical Psychology, Ruhr-University Bochum, Germany.
J Hypertens. 1994 Jul;12(7):825-9.
Sphygmomanometric recordings of blood pressure are a standard technique in clinical practice. We investigated whether arm-cuff inflation can induce short-term blood pressure changes ('cuff-inflation hypertension'), limiting the generalizability of recordings.
Progress in biomedical methodology makes it feasible to monitor blood pressure continuously and non-invasively at the finger artery (the Peñaz method). Seventy-two normotensive subjects were randomly assigned either to a series of sphygmomanometric recordings in which a maximum cuff pressure of 300 mmHg was applied, to a series in which the maximum cuff pressure was 175 mmHg or to a control group in whom no sphygmomanometric recordings were made.
The subjects exposed to arm-cuff inflations perceived the cuff inflation pressure, but their perception could not differentiate between the two maximum cuff pressures. Furthermore, increases in systolic blood pressure during the inflation period were recorded when a maximum cuff pressure of 300 mmHg was applied. The effects on diastolic blood pressure were not significant.
The maximum arm-cuff pressure during sphygmomanometry should be not too far above the pressure needed to occlude the brachial artery. A high maximum arm-cuff pressure increases the chances of inducing 'cuff-inflation hypertension'.
血压的血压计测量记录是临床实践中的一项标准技术。我们研究了袖带充气是否会引起短期血压变化（“袖带充气性高血压”），从而限制测量记录的通用性。
生物医学方法学的进展使得在手指动脉连续无创监测血压（佩尼亚兹方法）成为可能。72名血压正常的受试者被随机分为三组，一组进行一系列血压计测量记录，其中袖带最大压力为300 mmHg；一组进行最大袖带压力为175 mmHg的测量记录；还有一组为对照组，不进行血压计测量记录。
暴露于袖带充气的受试者能感知袖带充气压力，但他们的感知无法区分两种最大袖带压力。此外，当施加300 mmHg的最大袖带压力时，记录到充气期收缩压升高。对舒张压的影响不显著。
血压测量时袖带的最大压力不应比阻断肱动脉所需压力高太多。较高的袖带最大压力会增加诱发“袖带充气性高血压”的几率。
