摘要
目的探讨在血液透析过程中应用电子血压计替代立式汞柱式血压计为血液透析病人测量血压的可行性。方法选择维持性血液透析患者86例，透析过程中采用立式汞柱式血压计和欧姆龙HEM-907型电子血压计同步使用袖带法测量无内瘘侧肱动脉压，每个病人重复测量3～4次，用Bland—Ahman分析法评价两种方法的差别情况。根据美国ANSI／AAMISP10-2002（手动、电子或自动血压计》规定的标准，如果电子血压计与立式汞柱式血压计测得的血压差值的均值在4-5mmHg以内，血压差值的标准差在±8mmHg以内，则电子血压计的误差在可接受范围内。结果电子血压计与立式汞柱血压计测量的收缩压差值为（-1．61±5．48）mmHg，两种方法测得舒张压差值为（-2．68±5．02）minHg（P〉0．05）。结论欧姆龙HEM-907电子血压计测量血压可靠，可以替代立式汞柱式血压计听诊法，从而减轻血透室护士工作量。
Objective Using the mercury gravity manometer as reference, the accuracy of automated sphygmomanometers in blood pressure （BP） measurement in maintenance hemodialysis （MHD） patients was evaluated. Methods 86 MHD patients were selected. Brachial artery BP was measured by Omron HEM-907 portable automatic electric monitor and mercury gravity manometer simultaneously at the ann without fistula. BP measurements were repeated for 3 -4 times for each patient during dialysis. The two BP measurement methods were compared according to ANSI/AAMI SP10：2002＇ Manual, electronic, or automated sphygmomanometers＇, which stated that the mean difference between the tested method and the reference method should not be larger than ＋ 5 mmHg, and the standard deviation （SD） of the difference should not be larger than ~ 8 mmHg. Results The mean difference of systolic blood pressure between Omron HEM-907 portable monitor and mercury gravity manometer was - 1.6 mmHg with a SD of 5.48 mmHg. The mean difference of diastolic blood pressure between the two methods was - 2.68 mmHg with a SD of 5.02 mmHg. Conclusions Omron HEM-907 portable monitor was reliable for BP measurements in MHD patients, and could replace mercury gravity manometer in BP monitoring during dialysis session. The introduction of automatic BP monitoring during dialysis session will greatly reduce nurses＇ labor load.
出处
《中华现代护理杂志》
2009年第8期705-707,共3页
Chinese Journal of Modern Nursing
关键词
电子血压计
收缩压
舒张压
血液透析
Automated sphygmomanometer
Systolic blood pressure
Diastolic blood pressure
Hemodialysis
