测量血压的无袖设备:美国心脏协会的一份科学声明
Hypertension (Dallas, Tex. : 1979)
|December 11, 2025
概括
无袖式血压 (BP) 设备提供方便,但需要进一步验证. 目前的设备可能不准确或有效的临床使用,尽管FDA许可和患者采用.
科学领域:
- 生物医学工程 生物医学工程
- 心血管健康 心血管健康
- 医疗器械 医疗器械
背景情况:
- 传统的基于袖子的血压 (BP) 监测带来了诸如患者不适和有限的读数频率等挑战.
- 无袖式BP设备正在成为克服研究和临床环境中的这些局限性的潜在解决方案.
研究的目的:
- 审查有关无袖BP监测技术的现有文献.
- 确定了解这些设备的准确性,有效性和临床适用性的差距.
- 为了突出有关现有的无袖BP设备的当前审查和临床适当性的担忧.
主要方法:
- 关于无袖式血压监测技术的文献综述.
- 分析现有的设备准确性评估标准.
- 检查当前的临床使用和患者自我监测趋势.
主要成果:
- 无袖式BP设备有可能改善BP测量可访问性.
- 在理解这些设备大量数据的临床实用性和结果关系方面存在重大差距.
- 国际准确性标准是最新的,并不完全涵盖设备的典型使用情况.
结论:
- 市场上目前的无袖血压器件尚未得到足够的准确性和有效性检查.
- 尽管FDA批准和临床使用,但许多设备可能不适合临床决策.
- 进一步的研究至关重要,以确定适当的用例,并确保无袖BP监测的可靠性.
相关概念视频
Sites for measuring blood pressure
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
Equipments Used To Measure Blood Pressure
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Assessment of blood pressure in brachial artery(one-step method)
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
Special considerations while measuring blood pressure
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Measurement of Blood Pressure
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.


