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[一种半自动动脉压监测仪的评估]

[The evaluation of a semiautomatic arterial pressure monitor].

作者信息

Córdoba García R, Altisent Trota R, Uriel Pérez J A, Martín Miguel V, Estebanell Arnal M P, Esteban Algora M C

机构信息

Centros de Salud Delicias Sur y Actur, Zaragoza.

出版信息

Aten Primaria. 1993 May 15;11(8):420-2.

PMID:8494963
Abstract

OBJECTIVE

To study the reliability and precision of the arterial pressure digital monitor, Palm Monitor-2 FS-40, model 1083 (DM). The mercury sphygmomanometer (MSM) was used as the reference.

DESIGN

Comparative crossover study.

SETTING

Primary Care Centre.

PATIENTS

81 patients of both sexes between 26 and 65 found at random in a consultation during November and December, 1991. 24 of them had systolic arterial pressure (SAP) above 140 mmHg and/or diastolic arterial pressure (DAP) above 90 mmHg.

MEASUREMENTS AND MAIN RESULTS

Four measurements of AP for each patient were carried out at one minute intervals: the first and the fourth with the MSM and the second and third with the DM. The SAP averages with the DM were 130.27 mmHg in the first take and 129.36 in the second. The DAP averages were 82.53 and 81.88, respectively. The Pearson correlation r between the averages for both devices and the difference of averages, both absolute and in so much per cent, were obtained. The values obtained were 0.887 for SAP and 0.810 for DAP. The difference between averages was -3.83 mmHg (-2.86%) for SAP and -2.55 mmHg (-3.04%) for DAP.

CONCLUSIONS

The measurements obtained with this DM are quite reliable, although a tendency to underestimate the AP values in relation to the MSM was noted. Overall it can provide useful information on certain aspects of the diagnosis and follow-up of AHT.

摘要

目的

研究型号为1083的动脉血压数字监测仪(掌上监测仪-2 FS-40,简称DM)的可靠性和精确度。以汞柱式血压计(MSM)作为参照标准。

设计

比较性交叉研究。

地点

初级保健中心。

患者

1991年11月和12月在一次会诊中随机抽取的81名年龄在26至65岁之间的男女患者。其中24人收缩压(SAP)高于140 mmHg和/或舒张压(DAP)高于90 mmHg。

测量与主要结果

对每位患者每隔一分钟进行四次血压测量:第一次和第四次使用汞柱式血压计,第二次和第三次使用数字监测仪。数字监测仪第一次测量的收缩压平均值为130.27 mmHg,第二次为129.36 mmHg。舒张压平均值分别为82.53和81.88。得出两种仪器测量平均值之间的皮尔逊相关系数r以及平均值的绝对差值和百分比差值。收缩压的相关系数r值为0.887,舒张压为0.810。收缩压平均值差值为-3.83 mmHg(-2.86%),舒张压为-2.55 mmHg(-3.04%)。

结论

使用该数字监测仪所获得的测量结果相当可靠,不过注意到与汞柱式血压计相比有低估血压值的趋势。总体而言,它可为高血压诊断和随访的某些方面提供有用信息。

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