我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

无创中心动脉压测量设备的比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第4期
页码:
470-472
栏目:
临床研究
出版日期:
2013-07-25

文章信息/Info

Title:
Comparative study of noninvasive central aortic systolic pressure measuring gauges
作者:
王新宴; 尉 驰; 许 波; 黄翠莹; 臧春梅; 王建昌
（空军总医院特诊科,北京 100142）
Author(s):
WANG Xin-yan;  WEI Chi;  XU Bo;  HUANG Cui-ying;  ZANG Chun-mei;  WANG Jian-chang
(Department of Special Diagnosis, PLA General Hospital of Air Force, Beijing 100142, China)
关键词:
无创中心动脉压; A-PULSE CASPro; SphygmoCor; 相关性
Keywords:
non-invasive central aortic systolic pressure;  A-PULSE CASPro;  SphygmoCor;  correlation
分类号:
R543.5
DOI:
-
文献标识码:
A
摘要:
目的:比较目前通用的无创中心动脉压检测仪A-PULSE CASPro和SphygmoCor测量中心动脉压的相关性和稳定性。方法:450名男性志愿者，年龄19～23(22±1)岁；采集病史、记录一般情况；告知并签署知情同意；坐位休息10 min后测量右上肢肱动脉血压、分别用A-PULSE CASPro和SphygmoCor测量中心动脉压；记录数据。结果:A-PULSE CASPRO与SphygmoCor 测量的中心动脉压平均差值为1.57 mmHg(1 mmHg=0.133 kPa)和标准偏差为2.53 mmHg。采用Bland-Altman评价两种方法测量中心动脉压的偏差是在(5±8) mmHg范围之内。两种设备的线性回归方程为Y=0.9231*X+9.9341。A-PULSE CASPro和SphygmoCor测量的中心动脉压数值一致性好，R2为0.9123。结论: A-PULSE CASPro和SphygmoCor测量中心动脉压数值基本一致，相关性好，稳定性好。
Abstract:
AIM:To compare the stability, accuracy and correlation between two common noninvasive central aortic pressure gauges (A-PULSE CASPro and SphygmoCor) in measuring central aortic systolic pressure. METHODS: Four hundred and fifty male volunteers, aged 19-23 years with an average of (22±1), were enrolled in this study. After medical history was acquired, basic data was recorded and the volunteers signed the informed consent, the right brachial artery blood pressure was measured after 10 minutes’ sitting rest. Then, A-PULSE CASPro and SphygmoCor were used separately to measure the central aortic systolic pressure and the data were recorded. RESULTS: The mean absolute deviation of the central aortic systolic pressure value measured by A-PULSE CASPro and SphygmoCor was 1.57 mmHg and the standard deviation was 2.53 mmHg. The linear regression equation of the two instruments was Y=0.9231*X+9.9341. Good consistency of the central aortic systolic pressure value was obtained by both A-PULSE CASPro and SphygmoCor, with the value of R2=0.9123. CONCLUSION: The central aortic systolic pressure values measured by both A-PULSE CASPro and SphygmoCor are matched. The errors of the two instruments with the evaluation of Bland-Altman are within the range of (5±8) mmHg. The predictive indication of the central aortic systolic pressure is more obvious than that of the peripheral systolic pressure in forecasting the cardiovascular events. Noninvasive central blood pressure measurement has important clinical value in the diagnosis of hypertension and blood pressure management.

参考文献/References

[1]Williams B,Lacy PS,Thom SM,et al.Anglo-Scandinavian Cardiac Outcomes Trial Investigators;CAFE Steering Committee and Writing Committee. Differential impact of blood pressure lowering drugs on central aortic pressure and clinical outcomes-principal results of the Conduit Artery Function Evaluation study: The CAFE Study[J].Circulation,2006,113(9):1213-1225.

[2]Roman MJ,Devereux RB,Kizer JR,et al.Central pressure more strongly relates to vascular disease and outcome than does brachial pressure:the Strong Heart Study[J].Hypertension,2007,50(1):197-203.

[3]Agabiti-Rosei E,Mancia G,O’Rourke MF,et al.Central blood pressure measurements and antihypertensive therapy; A consensus document[J].Hypertension,2007,50(1):154-160.

[4]Association for the Advancement of Medical Instrumentation.Electronic or automated sphygmomanometers]M]// American National Standard ANSI/AAMI SP10-1992.

[5]O’Brien E,Pickering T,Asmar R,et al.Working group on Blood Pressure Monitoring of the European Society of Hypertension international protocol for validation of blood pressure measuring devices in adults[J].Blood Press Monit,2002,7(1):3-17.

[6]Chen CH, Nevo E,Fetics B,et al.Estimation of central aortic pressure waveform by mathematical transformation of radial tonometry pressure: Validation of generalized transfer function[J].Circulation,1997, 95(7):1827-1836.

[7]Williams B,Lacy PS,Yan P,et al.Development and validation of a novel method to derive central aortic systolic pressure from the radial pressure waveform using an N-point moving average method[J].J Am Coll Cardiol,2011,57(8):951-961.

[8]Nicholas WW,O’Rourke M. McDonald’s Blood Flow in Arteries:Theoretical,Experimental and Clinical Principles[M].London,UK: Arnold,2005:564.

备注/Memo

备注/Memo:
收稿日期: 2013-01-21.基金项目：军队后勤十二五重大课题资金资助（AKJ11J004） 通讯作者：王建昌，主任医师,主要从事心血管基础及临床研究 Email：WXY303@yahoo.cn 作者简介：王新宴，副主任医师 Email：kztzk2012@yahoo.cn
更新日期/Last Update: 2013-07-29