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1、∀心脑血管病防治#2006年10月第6卷第5期287临床研究对腕式电子血压计的准确性评价陶波,郭冀珍,魏菁(上海交通大学医学院附属瑞金医院高血压科,上海200025)[摘要]目的评价欧姆龙HEM-6001型电子血压计的准确性并分析影响准确性的因素。方法151名试验对象,年龄范围19~78岁,平均年龄5016岁。臂围20~40cm,腕围125~23cm。静息收缩压(SBP)范围85~192mmHg,舒张压(DBP)范围52~118mmHg,其中男性81名,女性70名。按水银柱式血压计、欧姆龙HEM-7000、水银柱式血压计、欧姆龙HEM-6001、水银柱式血
2、压计的顺序测定同一侧上臂的血压。结果欧姆龙HEM-6001、HEM-7000型电子血压计均与水银柱式血压计所测血压值相关性较好,用BHS标准评估分别达到C/B级和B/A级。两者与听诊法测量的血压(SBP/DBP)差值分别为:059892/043734mmHg(HEM-6001)和-079765/127605mmHg(HEM-7000)。HEM-6001型的测量差值与臂围大小呈正相关(RSBP=0315,P<001;RDBP=0245,P<001),与腕围大小也呈正相关(RSBP=0237,P<001;RDBP=0183,P<005);HEM-7000型
3、的测量差值与臂围大小不相关(RSBP=-0066,P>005;RDBP=-0022,P>005),与腕围大小也不相关(RSBP=0098,P>005;RDBP=0033,P>005)。结论臂围与腕围特别粗或细的人在使用腕式电子血压计时要注意到臂围和腕围对测量结果的影响。[关键词]腕式电子血压计;臂式电子血压计;血压;腕围;臂围中图分类号:R4435文献标识码:A文章编号:1009_816X(2006)05_0287_03AccuracyEvaluationofOmronHEM-6001wrist-cuffdevice.TAOBo,GUOJi-zhen,WE
4、IJing.Departmentofhypertension,RuijinHospital,SchoolofMedicine,ShanghaiJiaoTongUniversity.Shanghai200025,China[Abstract]ObjectiveToevaluatetheaccuracyofOmronHEM-6001wrist-cuffdeviceandanalyzethefactorsaffectingtheaccuracy.MethodsStudyincluded151subjects(81malesand70females)aged19-78yearswiththea
5、verageageof5016andarmcircumferenceranged20-40cm,wristcircumferenceranged125-23cm.Restingsystolicbloodpressure(SBP)ranged85-192mmHgandrestingdiastolicpressure(DBP)ranged52-118mmHgforallthesesubjects.Foreachsubject,bloodpressurewasmeasuredfromthesamearmandwithdevicesinthesameorder(mercurysphygmo
6、manometer,OmronHEM-7000,mercurysphygmomanometer,OmronHEM-6001andmercurysphygmomanometer).ResultsThereadingsobtainedbyOmronHEM-6001andOmronHEM-7000correlatedcloselywithbythemercurysphygmomanometer.GradingoftheHEM-6001andtheHEM-7000basedoncriteriaofBritishHypertensionSociety(BHS)wasC/BandB/A,resp
7、ectively.ThedifferenceofSBP/DBPbetweenausculatationandthedevicewas059892/043734mmHgwhichcorrelatedpositivelywitharmcircumference(RSBP=0315,P<001;RDBP=0245,P<001)andwristcircumference(RSBP=0237,P<001;RDBP=0183,P<0
