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经眶上动脉示波法测量血压与经桡动脉有创测量血压的比较。

Comparison of blood pressure measured by oscillometry from the supraorbital artery and invasively from the radial artery.

作者信息

Lee T K, Westenkow D R

机构信息

Department of Anesthesiology, University of Utah, Salt Lake City, USA.

出版信息

J Clin Monit Comput. 1998 Feb;14(2):113-7. doi: 10.1023/a:1007481416222.

DOI:10.1023/a:1007481416222
PMID:9669448
Abstract

In previous studies, oscillometric blood pressure measured from the supraorbital artery has been shown to agree quite well with pressure measured from the brachial artery in normal subjects. In this study, surgical patients whose conditions warranted the use of invasive blood pressure monitoring during the surgery were chosen. We compared systolic and diastolic blood pressure measured oscillometrically from the supraorbital artery with intraarterial blood pressures, measured invasively from the radial artery. A pressure bladder was attached to the forehead of each patient. The bladder was connected to a forehead blood pressure monitor. A catheter was inserted in a radial artery, and connected to a pressure monitor. Forehead blood pressure was measured every 5 min. Radial arterial pressure was averaged over the same period during which the forehead measurement was made. Blood pressures measured with the two methods were compared. For the systolic pressure, the difference between the two methods was -9.9 +/- 17.9 mm Hg (mean +/- SD). For diastolic pressure, the difference was -8.0 +/- 10.9 mm Hg. There was a significant difference between the two methods in the patient population chosen in this study.

摘要

在先前的研究中,已表明在正常受试者中,通过眶上动脉测量的示波血压与通过肱动脉测量的血压相当吻合。在本研究中,选择了手术中病情需要使用有创血压监测的手术患者。我们将通过眶上动脉示波测量的收缩压和舒张压与通过桡动脉有创测量的动脉内血压进行了比较。将一个压力气囊附着在每位患者的前额。该气囊连接到前额血压监测仪。将一根导管插入桡动脉,并连接到压力监测仪。每5分钟测量一次前额血压。在前额测量的同一时间段内,计算桡动脉压的平均值。比较了两种方法测量的血压。对于收缩压,两种方法之间的差异为-9.9±17.9毫米汞柱(平均值±标准差)。对于舒张压,差异为-8.0±10.9毫米汞柱。在本研究选择的患者群体中两种方法之间存在显著差异。

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本文引用的文献

1
Supraorbital artery as an alternative site for oscillometric blood pressure measurement.眶上动脉作为示波法测量血压的替代部位。
J Clin Monit. 1996 Jul;12(4):293-7. doi: 10.1007/BF02221749.
2
Optimal sites for forehead oscillometric blood pressure monitoring.前额示波法血压监测的最佳部位
J Clin Monit. 1995 Sep;11(5):298-304. doi: 10.1007/BF01616987.
3
Noninvasive blood pressure monitoring from the supraorbital artery using an artificial neural network oscillometric algorithm.使用人工神经网络示波算法从眶上动脉进行无创血压监测。
J Clin Monit. 1995 Sep;11(5):289-97. doi: 10.1007/BF01616986.
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Direct blood pressure measurement--dynamic response requirements.直接血压测量——动态响应要求。
Anesthesiology. 1981 Mar;54(3):227-36. doi: 10.1097/00000542-198103000-00010.
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The meaning of the point of maximum oscillations in cuff pressure in the indirect measurement of blood pressure--part ii.间接测量血压时袖带压力最大振荡点的意义——第二部分。
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Indirect measurement of mean blood pressure in the anesthetized patient.麻醉患者平均血压的间接测量。
Anesthesiology. 1979 Mar;50(3):253-6. doi: 10.1097/00000542-197903000-00022.
10
Noninvasive automatic determination of mean arterial pressure.无创自动测定平均动脉压。
Med Biol Eng Comput. 1979 Jan;17(1):11-8. doi: 10.1007/BF02440948.