高血压危象病人无创血压与有创血压测量差别的对比研究  

The Comparison of Blood Pressure Between Noninvasive and Invasive Blood Pressure in Patients with Hypertension Crisis

作　　者：邹春莉[1] 何义平[1] 于瑞英[1] 李飞娥[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所创伤二科,重庆400042

出　　处：《实用护理杂志》2003年第7期1-2,共2页Journal of Practical Nursing

摘　　要：目的　探讨临床常用的汞柱式血压计测量高血压危象病人血压的误差及原因。方法　选取高血压危象病人2 8例 ,用汞柱式血压计测量肱动脉血压 ,用有创法测量同一上肢的桡动脉血压并记录桡动脉波形图。每例均用2种方法测不同时间点血压共 6次 ,获 168对血压值。结果　汞柱式血压计测量血压的结果与真实血压相比 ,在高血压危象病人中收缩压约低估 ( 18± 5 )mmHg(P <0 .0 1) ,血压越高差别越大 ;舒张压差别则无显著性 (P >0 .0 5 )。结论　用汞柱式血压计测量高血压危象病人的血压值与实际值有一定误差 ,对于收缩压误差较大 ,舒张压则较准确 ,对伴脑卒中的病人尤应注意这种差别 。Objective To explore the difference and cause of measuring blood pressure with mercury sphygmomanometer in patients with hypertensive crisis.Method The arterial blood pressure of 28 patients with hypertensive crisis were measured with mercury sphygmomanometer and invasive monitoring,brachial artery with mercury sphygmomanometer,radial artery with invasive monitoring.168 pair measurements were made in all.Result The systolic pressure was lower by (18±5) mmHg (P<0.01) with sphygmomanometer method than with invasive monitoring,no difference in diastolic pressure between two methods.Conclusion There are some errors measuring blood pressure with sphygmomanometer method.Apparent error is found in systolic pressure in patients with hypertensive crisis,but not in diastolic pressure.

关 键 词：高血压危象 血压计 有创血压监测 

分 类 号：R544.1[医药卫生—心血管疾病]