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J Hypertens：袖带充气对自我测量血压的影响

2018-06-27 xing.T MedSci原创

袖带充气自我测量血压影响
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由此可见，该研究的结果支持自我血压测量过程中会出现升压反应，并在多次血压读数后仍然存在。

自我测量血压（BP）越来越多地用于高血压的诊断和血压的家中监测。无论何时与动态血压测量相比，家庭血压值往往更高，并且对心血管意外事件的预测性更低。近日，高血压领域权威杂志Journal of Hypertension上发表了一篇研究文章，研究人员假设这可能是由自我测量BP引起的升压反应所导致的。

该研究共有50名患者（平均年龄为62.0±11.2岁，44％为女性），其中25名患者家庭血压高出日间动态血压10/5mmHg和25名未高的患者。所有患者在休息10分钟后连续进行10次血压测量，然后再进行10分钟的休息时间，而使用手指光电容积描记法持续监测血压和中心血液动力学指标。在自我测量开始之前的基线血压与袖带充气前10秒期间的平均血压进行比较。

在两组中，研究人员观察到袖带充气期间SBP和DBP显著增加。与基线相比，家庭与日间动态血压有差异组平均血压上升的水平为6.9±6.3/4.5±4.3mmHg，而在家庭与日间动态血压没有差异组为4.4±9.4/2.7±5.3 mmHg，平均血压最大增加为17.4/8.4 mmHg和17.7/7.5 mmHg（P<0.01）。BP的增加与心率和心输出量的增加一致。多次读数后血压差值减少，但没有消失。

由此可见，该研究的结果支持自我血压测量过程中会出现升压反应，并在多次血压读数后仍然存在。

原始出处：

Gazzola, Katia.et al. Effect of cuff inflation on blood pressure during self-measurement.Journal of Hypertension. 2018. https://journals.lww.com/jhypertension/Abstract/publishahead/Effect_of_cuff_inflation_on_blood_pressure_during.97435.aspx

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    2018-09-25 feather89

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    2019-01-12 hywen7326

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    2018-07-03 12498ebem19暂无昵称

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    2018-12-18 ms5768352621950538

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    2018-06-27 九九消寒

    优质资源.共同学习

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