NONINVASIVE CONTINUOUS FINGER BLOOD-PRESSURE MEASUREMENT DURING ORTHOSTATIC STRESS COMPARED TO INTRAARTERIAL PRESSURE
NONINVASIVE CONTINUOUS FINGER BLOOD-PRESSURE MEASUREMENT DURING ORTHOSTATIC STRESS COMPARED TO INTRAARTERIAL PRESSURE
复制标题
DOI：
10.1093/cvr/24.3.214
复制
发表时间：
1990-03-01
影响因子：
10.8
通讯作者：
WIELING, W
中科院分区：
文献类型：
--
作者：
IMHOLZ, BPM;SETTELS, JJ;WIELING, W
研究目的-本研究的目的是评估是否可以用非侵入性的连续手指血压反应来取代对体位压力的侵入性血压反应。设计-同时测量健康志愿者在被动头向上倾斜和从仰卧或坐姿站立时的肱内和Finapres血压。研究对象：11名健康男性，年龄22-40岁，平均年龄30岁。测量结果和主要结果-计算两种测量方法的心脏收缩压、舒张压和平均动脉压的每拍值，并比较改变姿势前30秒和改变姿势后120秒的对照期间的差异。在对照期，指压与动脉内压之差为收缩压+2 (SD11) mm Hg，平均值-4(8)mm Hg，舒张压-3(7)mm Hg。与对照差异相比，在三种直立运动中，平均手指减去动脉内压的平均和舒张压差始终在-6至+6 mm Hg范围内，平均收缩压偏差更大，范围为-10至+11 mm Hg。尽管存在这些差异，动脉内压在初始阶段（姿势改变后的前30秒）的特征变化。所有受试者的手指压力测量都能很好地反映出稳态早期阶段（姿势改变后1-2分钟）。结论：对于评估体位压力对血压的持续反应，非侵入性Finapres血压记录可以获得与侵入性记录相似的信息。
Study objective - The aim of the study was to evaluate whether invasive blood pressure responses to orthostatic stress can be replaced by non-invasive continuous finger blood pressure responses. Design - Intrabrachial and Finapres blood pressure were simultaneously measured during passive head up tilt and during active standing from the supine or sitting position in healthy volunteers. Subjects - Subjects (n = 11) were healthy males aged 22-40 years, mean age 30 years. Measurements and main results - Beat to beat values of systolic, diastolic, and mean arterial pressures were calculated for both methods of measurement and the differences compared during a 30 s control period before, and during the first 120 s after, the change of posture. In the control period the difference between finger pressure and intra-arterial pressure was +2 (SD11) mm Hg for systolic, -4(8) mm Hg for mean, and -3(7) mm Hg for diastolic pressure. Compared to these control differences, the average finger minus intra-arterial pressure differences for mean and diastolic pressures during the three orthostatic manoeuvres were always within the range -6 to +6 mm Hg. The average systolic deviations were larger, ranging from -10 to +11 mm Hg. Despite these differences the characteristic changes in intra-arterial pressure during the initial phase (first 30 s after change of posture), as well as during the early steady state phase (1-2 min after the change of posture) were well reflected by finger pressure measurements in all subjects. Conclusions - For the assessment of the continuous blood pressure responses to orthostatic stress similar information can be obtained with non-invasive Finapres blood pressure recordings as with invasive recordings.