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目的:探讨左右上臂的血压差异及其临床意义。方法:随机抽选本院体检健康者50例、心血管内科疾病患者50例、呼吸内科疾病患者50例及普通外科疾病患者50例,共200例,固定血压计和听诊器,定时间、定体位、定方法且由专人测量左右上臂血压。结果:两臂收缩压比较差异有统计学意义(P<0.05),舒张压比较差异也有统计学意义(P<0.05);左右上臂血压的差值在不同性别、不同疾病之间无统计学意义(P>0.05),但在不同年龄组之间收缩压差值有统计学意义(P<0.05)。结论:临床首次测量血压时应测量双臂血压,并以血压高的一侧手臂为准。而不应常规以测右上臂血压为标准。
Objective: To investigate the difference of blood pressure between the left and right upper arms and its clinical significance. Methods: Fifty cases of physical examination, 50 cases of cardiovascular diseases, 50 cases of respiratory diseases and 50 cases of common surgical diseases were selected randomly from our hospital. A total of 200 cases were fixed with a sphygmomanometer and a stethoscope. The time, , Set the method and by hand to measure the upper arm blood pressure. Results: There was significant difference in systolic pressure between the two arms (P <0.05), and the difference of diastolic pressure was also statistically significant (P <0.05). The difference of left and right upper arm blood pressure was not significant in different genders and in different diseases (P> 0.05), but systolic blood pressure difference between different age groups was statistically significant (P <0.05). Conclusion: The blood pressure of the arm should be measured when the blood pressure is measured for the first time in the clinic, and the arm with high blood pressure should prevail. Rather than routinely measure the right arm blood pressure as the standard.