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对手臂周长的观察者间可靠性和解剖学地标,以确定血压测量的袖口大小
Bonaventure Oguaju1, Darren Lau1, Raj Padwal1
1Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Journal of clinical hypertension (Greenwich, Conn.)
|July 9, 2024
概括
精确的血压 (BP) 测量依赖于精确的手臂周长 (AC) 读数. 标准化AC测量的地标和身体位置可以减少袖口选择的变化.
科学领域:
- 医疗器械 医疗器械
- 临床测量 临床测量
- 心血管健康 心血管健康
背景情况:
- 精确的血压测量对于诊断和管理高血压至关重要.
- 标准化手臂周长 (AC) 测量协议对于选择适当的BP袖口尺寸至关重要.
- 目前的标准在AC测量过程中缺乏关于acromion过程 (AP) 和身体位置的地标的具体性.
研究的目的:
- 调查不同地标对形过程 (AP) 和身体位置 (站立 vs 坐着) 对手臂周长 (AC) 测量的影响.
- 评估AC测量的变化如何影响选择适当的血压 (BP) 袖口尺寸.
- 为了确定通过地标模糊性和身体位置在AC测量中引入的变化,以评估BP.
主要方法:
- 在AC测量过程中使用了两个里程碑 (acromion的顶部 - TOA,acromion的脊柱 - SOA).
- 手臂周长测量在上臂的中点在站立和坐着的位置.
- 两个独立的盲人观察员对51名参与者进行了测量,以最接近的0.1厘米为准.
主要成果:
- 在站立的位置,TOA和SOA之间的平均交流差异是最小的 (0.3厘米).
- 在坐着的位置,TOA和SOA之间的平均交流差异较大 (1.1厘米).
- 在站立姿势中,TOA和SOA之间对袖口选择的Kappa协议很高 (0.94),表明对袖口选择的影响很小.
结论:
- 在acromion过程中的地标选择对袖口选择的影响很小,但标准化它可以进一步降低变异性.
- 身体的位置 (站立或坐着) 在交流测量和随后的袖子选择中引入了更多的变化,而不是地标选择.
- 建议对AC测量的地标选择和身体位置进行标准化,以提高BP读数和验证研究的准确性和可靠性.
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