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学科主题: 肾脏病学
题名:
透析中应用电子血压计监测血压的可行性分析
其他题名: Feasibility of automated sphygmomanometers for blood pressure monitoring during dialysis session
作者: 郭学; 赵新菊; 曾立云; 王玉; 左力
关键词: 电子血压计 ; 收缩压 ; 舒张压 ; 血液透析 ; Automated sphygmomanometer ; Systolic blood pressure ; Diastolic blood pressure ; Hemodialysis
刊名: 中华现代护理杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.1674-2907.2009.08.002
卷: 15, 期:8, 页:705-707
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的 探讨在血液透析过程中应用电子血压计替代立式汞柱式血压计为血液透析病人测量血压的可行性.方法 选择维持性血液透析患者86例,透析过程中采用立式汞柱式血压计和欧姆龙HEM-907型电子血压计同步使用袖带法测量无内瘘侧肱动脉压,每个病人重复测量3~4次,用Bland-Altman分析法评价两种方法的差别情况.根据美国ANSI/AAMI SP10-2002<手动、电子或自动血压计>规定的标准,如果电子血压计与立式汞柱式血压计测得的血压差值的均值在±5mmHg以内,血压差值的标准差在±8mmHg以内,则电子血压计的误差在可接受范围内.结果 电子血压计与立式汞柱血压计测量的收缩压差值为(-1.61±5.48)mm Hg,两种方法测得舒张压差值为(-2.68±5.02)mm Hg(P>0.05).结论 欧姆龙HEM-907电子血压计测量血压可靠,可以替代立式汞柱式血压计听诊法,从而减轻血透室护士工作量. Objective Using the mercury gravity manometer as reference, the accuracy of automated sphygmomanometers in blood pressure (BP) measurement in maintenance hemodialysis (MHD) patients was evaluated. Methods 86 MHD patients were selected. Brachial artery BP was measured by Omron HEM-907 portable automatic electric monitor and mercury gravity manometer simultaneously at the ann without fistula. BP measurements were repeated for 3~4 times for each patient during dialysis. The two BP measurement methods were compared according to ANSI/AAMI SP10:2002' Manual, electronic, or automated sphygmomanometers', which stated that the mean difference between the tested method and the reference method should not be larger than ± 5 mmHg, and the standard deviation (SD) of the difference should not be larger than ± 8 mmHg. Results The mean difference of systolic blood pressure between Omron HEM-907 portable monitor and mercury gravity manometer was - 1.6 mmHg with a SD of 5.48 mmHg. The mean difference of diastolic blood pressure between the two methods was - 2.68 mmHg with a SD of 5.02 mmHg. Conclusions Omron HEM-907 portable monitor was reliable for BP measurements in MHD patients, and could replace mercury gravity manometer in BP monitoring during dialysis session. The introduction of automatic BP monitoring during dialysis session will greatly reduce nurses' labor load.
语种: 中文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/45838
Appears in Collections:北京大学第一临床医学院_肾脏内科_期刊论文

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作者单位: 北京大学第一医院肾内科暨肾脏病研究所,100034

Recommended Citation:
郭学,赵新菊,曾立云,等. 透析中应用电子血压计监测血压的可行性分析[J]. 中华现代护理杂志,2009,15(8):705-707.
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