腕式血压监测仪的准确度如何?
回答 Francisco Lopez-Jimenez 博士
如果严格按照说明使用,并比对在诊所的测量结果进行检查,有些腕式血压监测仪或许能提供准确的结果。为获得最可靠的血压测量结果,美国心脏协会建议尽量选择带包裹上臂的袖带的监测仪。
一些手臂尺寸较大的人可能无法找到在家中使用的合适袖带。在这种情况下,可以测量手腕处的血压。对于已切除腋窝淋巴结的人群,腕式血压监测仪可能也是一个选项。
在家中使用腕式血压监测仪时,常会由于放置不当而获得错误的偏高读数。使用这种监测仪时,请将其直接放置于手腕动脉(即桡动脉)上,也就是您能感觉到脉搏的位置。请勿隔着衣服测量。保持手腕与心脏齐平。检测期间请保持不动,也不要弯曲手腕。弯曲手腕可能导致读数错误。
无论是用任何类型的监测仪,在家中测得的血压读数往往与在医务人员诊室测得的血压读数不同。如果您有腕式血压监测仪,请将设备带至医务人员诊室。您的医护团队可以比较您手臂和手腕的血压,确认您的设备工作正常。
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Francisco Lopez-Jimenez 博士
显示参考文献
- Monitoring your blood pressure at home. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home. Accessed May 13, 2022.
- Stergiou GS, et al. A universal standard for the validation of blood pressure measuring devices: Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) collaboration statement. Hypertension. 2018; doi:10.1161/HYPERTENSIONAHA.117.10237.
- Irving G, et al. Which cuff should I use? Indirect blood pressure measurement for the diagnosis of hypertension in patients with obesity: A diagnostic accuracy review. BMJ Open. 2016; doi:10.1136/bmjopen-2016-012429.
- Schaefer KR, et al. Home blood pressure monitoring devices: Device performance in an Alaska native and American Indian population. Journal of Aging Health. 2021; doi:10.1177/08982643211013692.
- Sharman JE, et al. Lancet Commission on Hypertension group position statement on the global improvement of accuracy standards for devices that measure blood pressure. Journal of Hypertension. 2020; doi:10.1097/HJH.0000000000002246.
- Cohen J, et al. White coat and masked hypertension. https://www.uptodate.com/contents/search. Accessed May 16, 2022.
- Muntner P, et al. Measurement of blood pressure in humans: A scientific statement from the American Heart Association. Hypertension. 2019; doi:10.1161/HYP.0000000000000087.
- Thomas G, et al. Blood pressure measurement in the diagnosis and management of hypertension in adults. https://www.uptodate.com/contents/search. Accessed May 16, 2022.
- Palatini P, et al. Recommendations for blood pressure measurement in large arms in research and clinical practice: Position paper of the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability. Journal of Hypertension. 2020; doi:10.1097/HJH.0000000000002399.
- Casiglia E, et al. Poor reliability of wrist blood pressure self-measurement at home: A population-based study. Hypertension. 2016; doi:10.1161/HYPERTENSIONAHA.116.07961.
Nov. 26, 2024Original article: https://www.mayoclinic.org/zh-hans/diseases-conditions/high-blood-pressure/expert-answers/wrist-blood-pressure-monitors/faq-20057802