侧卧位与仰卧位无创血压测量的对比研究  

Comparative Study of Noninvasive Blood Pressure Measurement of Lateral Position and Supine Position

作　　者：丁振江[1] 王虹[1] 马静[1] 辛红菊[1] 顾华[1] 詹艳平[1] 阎晶[1] 刘俊英[1] 

机构地区：[1]承德医学院附属医院心脏内科,河北承德067000

出　　处：《中国中医基础医学杂志》2004年第9期59-60,共2页JOURNAL OF BASIC CHINESE MEDICINE

摘　　要：目的 :了解侧卧位与仰卧位无创血压测量有否不同。方法 :对 15 0例无创血压监测的患者 ,选用右上肢肱动脉测压法 ,分别测量仰卧位、右侧卧位、左侧卧位时的血压。结果 :仰卧位时收缩压平均 12 8 13± 18 97mmHg ,右侧卧位时收缩压平均 12 7 31± 19 6 0mmHg ,与仰卧位时比较P >0 0 5 ,差别无统计学意义 ;左侧卧位时收缩压平均 113 6 6± 17 6 9mmHg ,与仰卧位时比较P <0 0 1,差别有高度统计学意义。仰卧位时舒张压平均 76 0 2± 12 30mmHg ,右侧卧位时舒张压平均 77 6 7± 12 15mmHg ,与仰卧位时比较P >0 0 5 ,差别无统计学意义 ;左侧卧位时舒张压平均 6 1 85±12 2 1mmHg ,与仰卧位时比较P <0 0 1,差别有高度统计学意义。结论 :选用右上肢肱动脉测压时 ,右侧卧位与仰卧位无创血压测量无明显变化 ,左侧卧位时无创血压测量的结果显著低于仰卧位时无创血压测量的结果 ,收缩压平均低 14 4 7mmHg ,舒张压平均低 14 17mmHg。Objective:To investigate whether noninvasive blood pressure measurement of lateral position and supine position was different or not.Methods:Blood pressure measurement of supine position,right lateral position and left lateral position was measured in 150 patients,with noninvasive blood pressure monitoring by the brachial arteries of right upper limbs.Results:The mean systolic pressure of supine position was 128 13±18 97mmHg,that of right lateral position was 127 31±19 60mmHg.There was no significant difference in the two groups, P >0 05.The mean systolic pressure of left lateral position was 113 66±17 69mmHg,which was significant difference with that of supine position, P <0 01.The mean diastolic pressure of supine position was 76 02±12 30mmHg,that of right lateral position was 77 67±12 15mmHg.There was no significant difference in the two groups, P >0 05.The mean diastolic pressure of left lateral position was 61 85±12 21mmHg,which was significant difference with that of supine position, P <0 01.Conclusion:When the brachial arteries of right upper limbs were used for noninvasive blood pressure monitoring of different positions,there was no significant difference between right lateral position and supine position.The mean systolic pressure of left lateral position was 14 47mmHg lower than that of supine,and the mean diastolic pressure was 14 17mmHg lower.

关 键 词：血压 测量 血压监测 肱动脉 

分 类 号：R544.1[医药卫生—心血管疾病]