成人臂围调查及袖带臂围匹配对血压测值的影响  

Upper Arm Circumference in Adults and Its Influence on Blood Pressure Measurement

作　　者：王光富[1,2] 龚艺[1] 苏海[1] 周月英[1] 吴延庆[1] 朱延华[1] 付善磊[1,3] 

机构地区：[1]南昌大学第二附属医院,江西南昌330006 [2]现在济南市第四人民医院内科 [3]现在南昌334医院内科

出　　处：《中华高血压杂志》2007年第6期460-464,共5页Chinese Journal of Hypertension

基　　金：江西省科委课题

摘　　要：目的 调查南昌市一个社区人群臂围，并观察袖带臂围匹配与否对袖带法血压测值的影响。方法 由两位经过专门培训的医务人员，用12cm×22cm袖带测量25～90岁社区居民2041名血压、右上臂的臂围、身高、体质量、体质量指数（BMI）。按年龄分为≤35岁组（≤35）、36～45岁组（35～）、46～55岁组（45～）、56～65岁组（55～）、〉65岁组（〉65）。208名冠脉造影患者同步测量主动脉根部（直接）和袖带法肱动脉（间接）血压，计算两者的差值（直-间血压差）。结果 1）该社区成人臂围为17～37cm；2）袖带臂围不匹配（〉26cm）组的收缩压和舒张压测值分别比匹配（≤26cm）组高6mmHg和4mmHg；不匹配组的直-间收缩压差比匹配组小2．7mmHg。结论 1）小号袖带对49．0％的南昌地区人群过小；2）使用小号袖带可能高估臂围〉26cm人群的收缩压。Objective To investigate the arm circumference （AC） of a cohort of adult population in Nanchang area and its influence on blood pressure （BP） measurement. Methods BP was taken at right arm for 3 times in 2041 adults from 25 to 90 year old. The population was classified into 5 age groups. The AC, body height, body weight were measured. In 208 patients the invasive ascending aortic BP and noninvasive brachial BP were simultaneously measured for 3 times during coronary angiography. The difference of invasive and noninvasire BP was calculated as index of BPi-n. Results 1）The range of the AC was 17-37 cm in this population and the small adult cuff （size：12 cm×22 cm） was unsuitable for 49.9% of this population. 2）Using the inappropriate size of cuff in subjects with AC 〉26 cm will overestimate the BP, with SBP 6 mm Hg higher than that group with AC ≤26 cm, and DBP 4 mm Hg higher. 3）The SBPi-n in group with AC 〉26 cm was smaller than that in group with AC ≤26 cm, indicating that SBP was overevaluated for 2.7 mm Hg in larger AC group as comparison with smaller AC group. Conclusion 1）The small adult cuff is unsuitable for 49.9%of population in Nanchang area; 2）The SBP may be overestimated in persons with AC more than 26 cm when a small adult cuff is used.

关 键 词：血压 臂围 主动脉 肱动脉 

分 类 号：R443.5[医药卫生—诊断学]