Nicholson W R, Matthews J N, O'Sullivan J J, Wren C
Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne.
Arch Dis Child. 1993 Dec;69(6):681-4. doi: 10.1136/adc.69.6.681.
Ambulatory blood pressure monitoring (ABPM) in adults is proving to be useful. The aim of this study was to determine if ABPM is accurate in the lower blood pressure range encountered in children and, equally important, whether it is acceptable to children. Thirty one children, between the ages of 6 and 18 years, were assessed using an ambulatory blood pressure monitor that uses an auscultatory method. Blood pressure was measured in the contralateral arm with a mercury sphygmomanometer and an oscillometric device at the beginning and end of the study for comparison. Over a blood pressure range of 90-130 mm Hg systolic and 40-80 mm Hg diastolic, a close agreement was found with the sphygmomanometer; the limits of agreement (+/- 2 SD) were 11.6 mm Hg for systolic blood pressure and 13.6 mm Hg for diastolic blood pressure. The bias was less than 1.0 mm Hg. The ambulatory device was worn by all patients for at least 16 hours with an average of 52 recordings per patient. The majority found the device comfortable to wear and were not woken from sleep.
事实证明，成人动态血压监测（ABPM）是有用的。本研究的目的是确定ABPM在儿童较低血压范围内是否准确，同样重要的是，它是否为儿童所接受。使用采用听诊法的动态血压监测仪对31名6至18岁的儿童进行了评估。在研究开始和结束时，用汞柱式血压计和示波装置在对侧手臂测量血压以作比较。在收缩压90 - 130 mmHg和舒张压40 - 80 mmHg的血压范围内，发现与血压计的测量结果高度一致；收缩压的一致性界限（±2 SD）为11.6 mmHg，舒张压为13.6 mmHg。偏差小于1.0 mmHg。所有患者佩戴动态监测设备至少16小时，每位患者平均记录52次。大多数人觉得该设备佩戴舒适，睡眠时未被吵醒。
