在类似家庭设置中的两个验证的振荡计设备的比较显示出明显的血压差异和精度降低
Joachim Zahnd1, Brian Thompson1, Pierre-Antonin Rigon1
1Service of nephrology and hypertension, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
概括
家庭血压监测 (HBPM) 的准确性各不相同. 与上臂监视器相比,手腕设备可能会高估读数和高血压诊断,因此需要改善患者教育和设备评估.
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:
- 家庭血压监测 (HBPM) 对于管理高血压至关重要.
- 然而,用户不一致和非标准条件可能会损害HBPM的准确性和可靠性.
研究的目的:
- 为了比较基于手腕的HBPM设备与参考上臂监视器的准确性和可靠性.
- 在类似家庭条件下的设备性能评估,参与者自行放置.
主要方法:
- 121名参与者同时使用手腕和上臂设备进行血压测量.
- 在两个手臂上进行了测量,在初始读数后进行了设备交叉测量.
- 设备的性能被评估为偏差,精度和高血压分类协议.
主要成果:
- 从手腕获得的血压读数始终高于上臂测量值.
- 这两种设备都显示出偏差增加,并在较高的血压水平下降了缩血压精度.
- 高血压分类协议中等 (科恩卡帕=0.58),手腕监视器过度诊断高血压.
结论:
- 与上臂监测器相比,基于手腕的HBPM设备可能会表现出更大的变异性和过度诊断高血压的倾向.
- 这些发现强调了需要加强患者指导和对适当的HBPM技术的教育.
- 对自己报告的家庭血压测量的批判性评估对于准确的高血压管理至关重要.
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