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一种尺寸不适合所有人:通用袖口高估了大臂周长的人的振荡计血压
Katrine Bovien Gørlitz1, Esben Laugesen1,2, Christian Trolle1
1Diagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Denmark.
Blood pressure
|April 9, 2024
概括
全面袖子可能会在手臂周长较大的个体中高估血压 (BP). 这种不准确的测量可能会导致不必要的高血压药物调整.
科学领域:
- 医疗器械 医疗器械
- 心血管健康 心血管健康
- 临床测量 临床测量
背景情况:
- 振荡计血压 (BP) 装置通常具有设计用于广泛的手臂周长范围的通用袖口.
- 对于各种手臂大小的通用袖口准确性的验证研究很少报告.
研究的目的:
- 使用振荡计技术,将通用袖口的血压测量与适当尺寸袖口的血压测量进行比较.
- 在不同的手臂周长范围内评估通用袖口的准确性.
主要方法:
- 使用Microlife B6 Connect监视器进行随机顺序的血压测量.
- 相比之下,一个通用袖子 (22-42厘米) 与中等 (22-32厘米) 和大 (32-42厘米) 尺寸的袖子.
- 包括91名22-32厘米手臂周长的参与者和64名32-42厘米手臂周长的参与者.
主要成果:
- 对于大于32厘米的手臂周长,与大袖相比,通用袖口显著高估了心压 (6.4 mmHg) 和心压 (2.4 mmHg) 的血压.
- 在通用袖口和中等袖口之间没有观察到显著的BP测量差异,用于22-32厘米范围内的手臂周长.
- 通用袖口的膀尺寸与中等袖口相匹配,但整体袖口尺寸更大.
结论:
- 在手臂周长较大的个体中,通用袖口对血压的高估具有临床意义.
- 使用通用手套可能会导致不必要的开始或加强抗高血压药物治疗.
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