[Basic study on blood pressure measurements with a digital sphygmomanometers].

K Shibata, K Namikawa, C Murase
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Abstract

In the present study, digital sphygmomanometer (SMmeter)(Omuron Digital 709 Fuzzy and Digital 806F)for family use and 24 hour ambulatory SMmeter were checked in terms of reproducibility (CV%) of blood pressure(BP) measured and comparison of measured BP with Digital SMmeter with those measured with mercury SMmeter, the golden standard. Reproducibility of BP measured with Hg-SMmeter was less than 4%, with each Digital SMmeter less than 9%. Inter-unit reproducibility was less than 5% in each SMmeter. Systolic BP measured with 24 hour ambulatory SMmeter were higher by 2-4% than BP measured with Hg-SMmeter, diastolic BP higher by 4-9%. Systolic BP measured with Digital 709 Fuzzy were higher by 5-10% than Hg-SMmeter in lower range of systolic BP to be actually measured, in 130-170 mmHg both values almost coincident, in more than 170 mmHg Digital 709 Fuzzy lower by 2-7%. Diastolic BP measured with Digital 709 Fuzzy were higher by 10-15% than Hg-SMmeter in lower range of diastolic BP to be actually measured. In more than 80 mmHg both values were almost coincident. Systolic BP with Digital 806F were higher by 1.5-7%, diastolic BP higher by about 10% than the value with Hg-SMmeter. In conclusion, by taking account of different reproducibilities and characteristics of SMmeter, home BP monitoring can be performed by patient or/and his family.

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数字式血压计测量血压的基础研究
在本研究中,对家庭用数字血压计(SMmeter)(Omuron digital 709 Fuzzy和digital 806F)和24小时动态血压计测量血压(BP)的重复性(CV%)以及数字血压计与黄金标准水银血压计测量血压的比较进行了检查。Hg-SMmeter测量血压的重复性小于4%,每个数字SMmeter测量血压的重复性小于9%。每个SMmeter的单位间重复性小于5%。24小时动态血压仪测得的收缩压比hg - smometer测得的血压高2-4%,舒张压高4-9%。数字709模糊测量的收缩压比Hg-SMmeter在实际测量的收缩压较低范围内高5-10%,在130-170 mmHg时两者值几乎一致,在超过170 mmHg时数字709模糊测量的收缩压比Hg-SMmeter低2-7%。Digital 709 Fuzzy测得的舒张压较hg - smometer实际测得的舒张压低范围高10-15%。在超过80毫米汞柱时,这两个值几乎一致。与Hg-SMmeter相比,Digital 806F的收缩压升高1.5-7%,舒张压升高约10%。综上所述,考虑到SMmeter的不同重复性和特点,家庭血压监测可由患者或/及其家人进行。
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