CAJ | 학술논문

目的探讨测量血压时,袖带放置位置对肱动脉血压值的影响.方法对207例住院患者进行血压观察,同一患者分别依次采用:袖带下缘距肘窝2～3 cm(标准测量法),下缘位于肘窝部(实验测量法1),下缘位于肘窝下1 cm(实验测量法2),下缘位于肘窝下2 cm(实验测量法3)4种方法测量血压,对标准测量法和另外3种测量方法所测得的收缩压和舒张压进行统计学处理并进行比较.结果实验测量法1所测得的血压值与标准测量法比较差异无统计学意义(P＞0.05);实验测量法2和3两种方法所测得的血压值与标准测量法比较差异有统计学意义(P＜0.05).结论袖带下缘位于肘窝部进行测量,所测得的血压值与标准测量方法比较影响不大,临床可采用,但袖带放置位置过低,测得的血压值将会下降.
목적 탐토측량혈압시,수대방치위치대굉동맥혈압치적영향.방법 대207례주원환자진행혈압관찰,동일환자분별의차채용:수대하연거주와2～3 cm(표준측량법),하연위우주와부(실험측량법1),하연위우주와하1 cm(실험측량법2),하연위우주와하2 cm(실험측량법3)4충방법측량혈압,대표준측량법화령외3충측량방법소측득적수축압화서장압진행통계학처리병진행비교.결과 실험측량법1소측득적혈압치여표준측량법비교차이무통계학의의(P＞0.05);실험측량법2화3량충방법소측득적혈압치여표준측량법비교차이유통계학의의(P＜0.05).결론 수대하연위우주와부진행측량,소측득적혈압치여표준측량방법비교영향불대,림상가채용,단수대방치위치과저,측득적혈압치장회하강.
Objective To investigate the influence of the cuff placement to the blood pressure measurement. Methods To measure 207 hospitalized case' s blood pressure with four methods: the cuff' s lower edge is 2 ～ 3 cm from the cubital fossa' s upper edge(standard measurement),the cuff' s lower edge is near the cubital fossa(measurement 1),the cuff' s lower edge is 1 cm from the cubital fossa' s lower edge (measurement 2),the cuff' s lower edge is 2 cm from the cubital fossa' s lower edge(measurement 3). Then to compare the difference of the systolic and diastolic blood pressure values of four groups. Results The difference between the blood pressure values of standard measurement and measurement 1 was no significant(P ＞ 0. 05).The difference between the blood pressure values of standard measurement and measurement 2 or 3 was highly significant(P ＜0. 05). Conclusions The blood pressure values of standard measurement and measurement 1 were nearly same,so we could measure blood pressure with measurement 1 in clinic. But the cuff placement can not be too low,otherwise,the measured blood pressure values would be significantly decreased.