EFFECTS OF BLOOD-PRESSURE MEASUREMENT BY THE DOCTOR ON PATIENT'S BLOOD PRESSURE AND HEART RATE
EFFECTS OF BLOOD-PRESSURE MEASUREMENT BY THE DOCTOR ON PATIENT'S BLOOD PRESSURE AND HEART RATE
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医生测量的血压对患者血压和心率的影响
DOI：
10.1016/s0140-6736(83)92244-4
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
A. Zanchetti
中科院分区：
文献类型：
--
作者：
G. Mancia;G. Grassi;G. Pomidossi;L. Gregorini;G. Bertinieri;G. Parati;A. Ferrari;A. Zanchetti
医生通过袖带法反复测量血压，并通过连续动脉内记录仪监测 10 或 15 分钟内的血压变化。在几乎所有 48 名血压正常和高血压受试者中，医生到达床边后，收缩压和舒张压立即升高，在 1 至 4 分钟内达到峰值（平均比就诊前值高 26·7±2·3 mm Hg 和 14·9±1·6 mm Hg）。个体之间的峰值反应（范围，收缩压 4-75 毫米汞柱和舒张压 1-36 毫米汞柱）存在很大差异，与年龄、性别、基线血压或血压变异性无关。伴有心动过速（平均峰值反应15·9±1·5次/分钟，范围4-45次/分钟），与血压升高仅有轻微相关。达到峰值反应后，血压下降，就诊结束时仅略高于就诊前的水平。同一位医生的第二次就诊并没有改变早期升压反应的平均大小或其随后下降的斜率。
Changes in blood pressure in 10 or 15 min periods during which a doctor repeatedly measured blood pressure by the cuff method were monitored by a continuous intra-arterial recorder. In almost all the 48 normotensive and hypertensive subjects tested the doctor's arrival at the bedside induced immediate rises in systolic and diastolic blood pressures peaking within 1 to 4 min (mean 26·7±2·3 mm Hg and 14·9±1·6 mm Hg above pre-visit values). There were large differences between individuals in the peak response (range, 4-75 mm Hg systolic and 1-36 mm Hg diastolic) unrelated to age, sex, baseline blood pressure, or blood-pressure variability. There was concomitant tachycardia (average peak response 15·9±1·5 beats/min, range 4-45 beats/min) which was only slightly correlated with the blood-pressure rise. After the peak response blood pressure declined and at the end ofthe visit was only slightly above the pre-visit level. A second visit by the same doctor did not change the average size of the early pressor response or the slope of its subsequent decline.