同步双边手臂血压测量增加了老年人正静性低血压的检测
Jianying Zhang1, Xia Gao2, Benxu Ma2
1Department of Neurology, The Affiliated Hospital of Qingdao Binhai University, 266404, Qingdao, Shandong, China.
Current hypertension reviews
|December 29, 2023
概括
在改变位置的同时同时测量双臂血压的新方法显著改善了老年人正静性低血压 (OH) 的检测.
科学领域:
- 老年学是一门学科.
- 心血管医学 心血管医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 由于缺乏标准化查方法,正静性低血压 (OH) 经常被低诊断.
- 低检测率和可重复性问题阻碍了有效的OH管理.
研究的目的:
- 开发和评估一种新的血压测量技术,以提高OH检测.
- 评估这种新方法在增加老年人群中OH识别的有效性.
主要方法:
- 一个经过修改的方案涉及同时双边臂动脉血压 (BP) 测量躺卧,坐着和站立的位置 (0-3分钟).
- 在两只手臂上都使用了两个电子血压计.
- 静止性低血压被定义为静止性血压下降≥20 mmHg或静止性血压下降≥10 mmHg在站立时.
主要成果:
- 经过修改的方法显示,与常规方法 (34.83%) 相比,症状性OH的检测率 (59.55%) 显著提高.
- 对于无症状的OH,修改方法的检测率 (20.63%) 也明显高于常规方法 (5.59%).
- 症状性OH患者通常年龄较大,更苗条,日常生活活动 (ADL) 得分较低,吸烟的可能性较小.
结论:
- 同步双侧臂动脉多个位置的血压测量是检测老年人高血压的优越方法.
- 这种标准化的方法提高了对症状和无症状正静性低血压的诊断产量.
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