血压测量常见影响因素研究

目的 探讨血压测量常见影响因素,并指导和应用于临床。方法选取2014年12月至2015年4月广东省汕头市周边社区进行血压监测的300例健康成年人作为研究对象,将其随机分成五组,每组60人。采用自身对照的方法比较分析体位、测量部位、测量仪器、听诊器位置及袖带松紧等因素对测得血压的影响。结果 坐位时测得收缩压、舒张压及脉压与卧位比较,袖带过紧及过松时所测收缩压及舒张压与袖带松紧正常比较,听诊器在袖带内所测收缩压及舒张压与袖带外比较,腕部所测收缩压及脉压与肘部比较,水银血压计所测收缩压及舒张压与电子血压计比较,差异均有统计学意义（P〈0.05）。结论 在临床工作中测量血压时需根据具体情况,排除体位、...

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Published in现代医药卫生 Vol. 31; no. 23; pp. 3541 - 3543
Main Author 陈李妍 施楚君 曾琴 张佳 李圆琳 黄榕暖
Format Journal Article
LanguageChinese
Published 汕头大学医学院,广东汕头,515041 2015
Subjects
听诊器
血压
血压测定
设备和供应,医院
Blood pressure determination
听诊器
设备和供应,医院
Blood pressure
Equipment and supplies
血压
血压测定
hospital
Stethoscopes
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Summary:目的 探讨血压测量常见影响因素,并指导和应用于临床。方法选取2014年12月至2015年4月广东省汕头市周边社区进行血压监测的300例健康成年人作为研究对象,将其随机分成五组,每组60人。采用自身对照的方法比较分析体位、测量部位、测量仪器、听诊器位置及袖带松紧等因素对测得血压的影响。结果 坐位时测得收缩压、舒张压及脉压与卧位比较,袖带过紧及过松时所测收缩压及舒张压与袖带松紧正常比较,听诊器在袖带内所测收缩压及舒张压与袖带外比较,腕部所测收缩压及脉压与肘部比较,水银血压计所测收缩压及舒张压与电子血压计比较,差异均有统计学意义（P〈0.05）。结论 在临床工作中测量血压时需根据具体情况,排除体位、仪器、袖带松紧等影响,规范操作,以获取准确的血压值,指导临床诊疗、评估疗效及预后。
Bibliography:Chen Liyan, Shi Chujun, Zeng Qin, Zhang Jia,Li Yuanlin ,Huang Rongnuan （Medical College of Shantou University, Shantou, Guangdong 515041, China）
Blood pressure ; Blood pressure determination; Stethoscopes ; Equipment and supplies,hospital
Objective To investigate the common influence #actors in blood pressure measurement for guiding and apply- ing it in clinic. Methods 300 healthy adults undergoing the blood pressure measurement in adjacent communities of Shantou City were selected as the research subjects and randomly divided into 5 groups, 60 cases in each group. The seff-control method was adopted to compare the influence of the factors such as the body position, measurement site, measurement instrument, stetho- scope location and tightness of cuff on the measured blood pressure. Results The measured systolic pressure, diastolic pressure and pulse pressure had statistically significant differences between the sitting position and lying position,the measured systolic pressure and diastolic pressure had statis
ISSN:1009-5519
DOI:10.3969/j.issn.1009-5519.2015.23.005