在心房的血压测量方法的一致性
Shadi Mostafavi1, Majid Haji Karimi2, Ali Pazoki2
1Clinical Research Development Unit of Advanced Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
Medical journal of the Islamic Republic of Iran
|October 15, 2025
概括
对心房患者的血压测量显示了振荡计和听力计方法之间的显著差异,特别是对于缩读数. 这会影响高血压诊断和治疗的可靠性.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 高血压管理 高血压管理
背景情况:
- 精确的血压 (BP) 测量对于心房动 (AF) 患者的高血压管理至关重要.
- 在AF患者中,振荡度和听觉血压测量方法之间的一致性尚未得到充分确立.
- 这项研究调查了AF患者的BP测量一致性.
研究的目的:
- 评估振荡度与选择性BP测量技术的可靠性和一致性.
- 为了在心房的患者中确定两种方法之间的血压读数的潜在差异.
- 在这个患者群体中为临床实践提供有关血压监测的信息.
主要方法:
- 一项涉及100名心房动和鼻节律的患者的横截面研究.
- 血压测量三次,使用听 (Korotkoff声音) 和振荡计方法.
- 使用SPSS版本25进行统计分析,P值<0.05被认为是显著的.
主要成果:
- 在AF患者 (P=0.003) 中,在两种方法之间测量系统血压 (SBP) 中观察到显著差异.
- 通过振荡计方法平均SBP:127.29±21.51 mmHg (AF组);通过听证方法:131.07±23.72 mmHg (AF组).
- 方法之间的差异对于每小时80次或更高的心率 (P=0.017) 是显著的.
结论:
- 虽然在AF患者的振荡度和听觉BP测量之间存在显著的相关性,但在SBP中发现了显著的差异.
- 这些发现突出了对心房患者血压评估的潜在变化.
- 可能需要进一步的研究来完善这个人口群体的BP测量协议.
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