中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
4期
259-263
,共5页
陈志来%郑延松%刘敏燕%舒画%黄建华
陳誌來%鄭延鬆%劉敏燕%舒畫%黃建華
진지래%정연송%류민연%서화%황건화
血压%四肢
血壓%四肢
혈압%사지
Blood pressure%Extremities
目的 利用同步测量法测量成人四肢血压,探讨成人左右侧血压水平之间是否存在差异.方法 选择2009年12月至2011年8月期间在本院进行健康体检的20164例作为研究对象,记录年龄,测量身高、体重；利用动脉硬化检测仪,采用同步测量方式测量四肢血压,并对测量结果进行统计学分析.结果 (1)上肢、下肢,左右两侧的血压水平是不同的,左侧上肢血压略高于右侧,而右侧下肢血压略高于左侧(P=0.0001)；(2)女性上肢舒张压左右差值(2.1±6.7) mm Hg (l mm Hg=0.133 kPa)比男性的上肢舒张压左右差值(1.4±6.5)mm Hg更明显(P =0.0000)；男性下肢的收缩压左右差值(2.3±9.5)mm Hg比女性的收缩压左右差值(1.9±13.4)mm Hg更明显(P=0.0225)；(3)在按体质指数划分的低体重人群、正常体重人群、超重人群和肥胖人群中,每组人群的四肢血压水平左右两侧均有显著性差异,但是,这种差异与体质指数无关；(4)身高170 cm以上人群的上肢舒张压左右两侧差值比170 cm以下人群的差值更明显(P=0.00l).结论 成人四肢血压水平确实存在左右两侧的差异,且这种差异在不同性别和不同身高人群中更加明显.
目的 利用同步測量法測量成人四肢血壓,探討成人左右側血壓水平之間是否存在差異.方法 選擇2009年12月至2011年8月期間在本院進行健康體檢的20164例作為研究對象,記錄年齡,測量身高、體重；利用動脈硬化檢測儀,採用同步測量方式測量四肢血壓,併對測量結果進行統計學分析.結果 (1)上肢、下肢,左右兩側的血壓水平是不同的,左側上肢血壓略高于右側,而右側下肢血壓略高于左側(P=0.0001)；(2)女性上肢舒張壓左右差值(2.1±6.7) mm Hg (l mm Hg=0.133 kPa)比男性的上肢舒張壓左右差值(1.4±6.5)mm Hg更明顯(P =0.0000)；男性下肢的收縮壓左右差值(2.3±9.5)mm Hg比女性的收縮壓左右差值(1.9±13.4)mm Hg更明顯(P=0.0225)；(3)在按體質指數劃分的低體重人群、正常體重人群、超重人群和肥胖人群中,每組人群的四肢血壓水平左右兩側均有顯著性差異,但是,這種差異與體質指數無關；(4)身高170 cm以上人群的上肢舒張壓左右兩側差值比170 cm以下人群的差值更明顯(P=0.00l).結論 成人四肢血壓水平確實存在左右兩側的差異,且這種差異在不同性彆和不同身高人群中更加明顯.
목적 이용동보측량법측량성인사지혈압,탐토성인좌우측혈압수평지간시부존재차이.방법 선택2009년12월지2011년8월기간재본원진행건강체검적20164례작위연구대상,기록년령,측량신고、체중；이용동맥경화검측의,채용동보측량방식측량사지혈압,병대측량결과진행통계학분석.결과 (1)상지、하지,좌우량측적혈압수평시불동적,좌측상지혈압략고우우측,이우측하지혈압략고우좌측(P=0.0001)；(2)녀성상지서장압좌우차치(2.1±6.7) mm Hg (l mm Hg=0.133 kPa)비남성적상지서장압좌우차치(1.4±6.5)mm Hg경명현(P =0.0000)；남성하지적수축압좌우차치(2.3±9.5)mm Hg비녀성적수축압좌우차치(1.9±13.4)mm Hg경명현(P=0.0225)；(3)재안체질지수화분적저체중인군、정상체중인군、초중인군화비반인군중,매조인군적사지혈압수평좌우량측균유현저성차이,단시,저충차이여체질지수무관；(4)신고170 cm이상인군적상지서장압좌우량측차치비170 cm이하인군적차치경명현(P=0.00l).결론 성인사지혈압수평학실존재좌우량측적차이,차저충차이재불동성별화불동신고인군중경가명현.
Objective To explore if there is a difference in blood pressure in left and right extremities.Methods A total of 20164 adults who took part in health check-up at Health Examination Center of Chinese PLA General Hospital between December 2009 and August 2011were enrolled in this study.Age,height and body weight were recorded,and blood pressure in extremities was measured in synchronous way by using an arteriosclerosis detector.Results (1) Blood pressure in upper left extremity was slightly higher than that in upper and lower right extremity ( all P =0.0001).( 2 ) Difference in diastolic blood pressure in upper left and right limbs in females (2.1±6.7) mm Hg(1mm Hg =0.133 kPa) was more significant than that in males (1.4 +6.5 ) mm Hg ( P =0.0000).In males,difference in systolic blood pressure between two lower extremities ( 2.3 ± 9.6 ) mm Hg was more significant than that in females (1.9 ±13.4) mm Hg ( P =0.0225 ).( 3 ) The above mentioned differences were found in low or normal weight and over-weight/obesity populations,which was not correlated with body mess index.(4) The difference of diastolic blood pressure in left and right limbs of relatively taller adults ( ＞170 cm) was more significant than that in shorter populations ( ＜170 cm ) (P =0.001).Conclusion The differences in blood pressure in left and right extremities do exist.
