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首页> 外文期刊>The Journal of maternal-fetal medicine >There is poor agreement between manual auscultatory and automated oscillometric methods for the measurement of blood pressure in normotensive pregnant women.
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There is poor agreement between manual auscultatory and automated oscillometric methods for the measurement of blood pressure in normotensive pregnant women.

机译：在血压正常的孕妇中，手动听诊法和自动示波法在测量血压方面的共识很差。

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摘要

OBJECTIVE: To assess the agreement between manual auscultatory arterial blood pressure values and the values obtained by an automated oscillometric device in normotensive pregnant patients. METHODS: Arterial blood pressure was determined concomitantly by a Dinamap 1846 sx/p device and by one observer (I, IV, V Korotkoff sounds) blinded to the Dinamap values. Agreement between methods was tested and graded according to the protocol of the British Hypertension Society. RESULTS: A total of 490 observations were performed. Differences were observed between the manual auscultatory method and the Dinamap method. In monitoring normotensive pregnant patients with a Dinamap device, an error was made of about 10 mmHg in 22% of the observations for systolic arterial blood pressure (BP); in 11% for diastolic arterial BP (IV sound); and in 15% for diastolic arterial BP (V sound). According to the British Hypertension Society protocol, the overall grade reached was 'C'. CONCLUSIONS: Although an underestimation of only 10 mmHg was shown, this can be of great importance in delaying a correct diagnosis of pre-eclampsia. The assessment of agreement of the Dinamap 1846 sx/p device in hypertensive pregnant patients should also be determined. A prospective study could be useful to determine the effectiveness of an automated device in detecting hypertensive disease in pregnancy.
机译：目的：评估血压正常孕妇的手动听诊动脉血压值与自动示波仪获得的值之间的一致性。方法：由Dinamap 1846 sx / p设备和一名对Dinamap值不知情的观察者（I，IV，V Korotkoff声音）同时测定动脉血压。方法之间的一致性已根据英国高血压学会的协议进行了测试和分级。结果：共进行了490次观察。在人工听诊法和迪纳普法之间观察到差异。用Dinamap装置监测血压正常的孕妇时，在22％的收缩期动脉血压（BP）观察结果中，约有10 mmHg的误差。舒张动脉血压（IV音）为11％;舒张期动脉血压（V音）占15％。根据英国高血压学会的协议，达到的总成绩为“ C”级。结论：尽管仅低估了10 mmHg，但在延迟正确诊断先兆子痫中可能具有重要意义。还应确定Dinamap 1846 sx / p设备在高血压孕妇中的一致性评估。一项前瞻性研究可能对确定自动化设备在检测孕妇高血压疾病中的有效性很有用。

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