How should we measure blood pressure in the doctor's office?
How should we measure blood pressure in the doctor's office?
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DOI：
10.1097/00126097-200110000-00006
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发表时间：
2001-10-01
影响因子：
1.3
通讯作者：
Pickering, TG
中科院分区：
文献类型：
--
作者：
Gerin, W;Marion, RM;Pickering, TG
背景血压是医生办公室中最普遍的诊断记录，但测量受到许多偏倚来源的影响，这可能导致高估或低估。目前的研究检查系统的影响的方式，采取的测量-由医生，由护士，或与病人独自坐着，使用一个automated device.Subjects和方法血压测量17原发性高血压和10白大衣高血压的个人。在单独的诊所访问，测量采取的主治医生，由护士和使用自动化设备（Arteriosonde 1216）。结果重复测量方差分析显示，收缩压，有一个显着的效果测量方式对血压。医生的收缩压平均比护士测量的收缩压高约10 mmHg，护士压力比使用Arteriosonde记录的收缩压高约7 mmHg。对舒张压的影响是相似的，但更小，没有护士-动脉血压计差异observed.Conclusions，我们得出结论，血压的常规临床评估将是更有代表性的每日动态血压，如果一个自动化的设备，没有医生或护士在场，被使用。(C)2001年利平科特威廉姆斯威尔金斯。
Background Blood pressure is the most ubiquitous diagnostic recording made in the doctor's office, but the measurement is subject to a number of sources of bias, which may lead to over- or underestimation. The current study examined the systematic influence of the way in which the measurements were taken - by the physician, by a nurse, or with the patient sitting alone, using an automated device.Subjects and methods Blood pressure was measured in 17 essential hypertensive and 10 white-coat hypertensive individuals. On separate clinic visits, measurements were taken by the attending physician, by a nurse and using an automated device (Arteriosonde 1216).Results A repeated-measures ANOVA revealed that, for systolic pressure, there was a significant effect of measurement modality on blood pressure. Physician systolic pressures were on average approximately 10 mmHg higher than those taken by a nurse, nurse pressures being approxiamtely 7 mmHg higher than those recorded using Arteriosonde. The effect on diastolic pressure was similar but smaller, and no nurse -Arteriosonde difference was observed.Conclusions We conclude that the routine clinical assessment of blood pressure would be more representative of daily ambulatory pressure if an automated device, without doctor or nurse present, were used. (C) 2001 Lippincott Williams Wilkins.