Quality of Korotkoff sounds: bell vs diaphragm, cubital fossa vs brachial artery.
Quality of Korotkoff sounds: bell vs diaphragm, cubital fossa vs brachial artery.
复制标题
DOI：
10.1016/0091-7435(83)90229-3
复制
发表时间：
1983-09
影响因子：
5.1
通讯作者：
Ronald J. Prineas;David R. Jacobs
中科院分区：
文献类型：
--
作者：
Ronald J. Prineas;David R. Jacobs
在间接血压测量期间，用听诊器的钟或隔膜听到的柯氏音的清晰度与在肘窝或更近端和内侧听到的最大肱动脉脉搏之间进行了比较。由两名训练有素的技术人员对48名仰卧位成人进行多次测量。平衡的测量，以听诊器头/手臂放置组合，听诊器使用，控制的压力球，并使用右或左arm. The柯氏音听到更好地与贝尔的听诊器放置在肱动脉脉搏（BB）比与隔膜放置在肘窝（DC）。前一种组合（BB）的收缩压和第四相舒张压的血压估计值显著高于后一种组合（DC）。
Comparison of clarity of Korotkoff sounds was made between those heard with the bell or diaphragm of the stethoscope and between those heard over the cubital fossa or more proximally and medially over the maximal brachial artery pulse—during indirect sphygmomanometry. Multiple measurements were made by two trained technicians on 48 supine adults. The measurements were balanced as to stethoscope-head/arm-placement combinations, stethoscope used, control of the pressure bulb, and use of right or left arm. The Korotkoff sounds were heard better with the bell of the stethoscope placed over the brachial artery pulse (BB) than with the diaphragm placed over the cubital fossa (DC). The former combination (BB) gave significantly higher blood pressure estimates for systolic blood pressure and fourth phase diastolic blood pressure than the latter combination (DC).