坐位时双上肢血压差值水平的探讨及临床意义

Sitting blood pressure difference at the level of both upper limbs and the clinical significance of

目的：探讨坐位时双上肢血压的差异。观察其临床意义．方法：随机选取患者97例（高血压患者42例，非高血压患者55例），其中男53例，女44例，年龄28-65岁。选择同一名医生用同一台标准台式水银柱血压计以标准外周压测定方法，连续测量坐位时两上臂血压。结果：坐位时，双侧上肢血压差异无显著性，两侧血压差值的均数相差不大。收缩压左高于右的差值均数7．35mmHg，右高于左为6．96mmHg;舒张压左高于右的差值均数为7．21mmHg，右高于左为6．88mmHg．结论：绝大多数人坐位时双上肢血压差值在0～10mmHg内，若差异显著，应进一步检查以排除其他病变。

Objective： To investigate the seat when the pressure difference between both upper limbs, observed its clinical significance. Methods： 97 cases of randomly selected patients （42 cases of patients with hypertension, 55 cases of non--hypertensive patients）, of which 53 eases of male, female 44 cases, aged 28 - 65 years. Choose a doctor with the same standard desktop mercury sphygmomanometer as a standard method of peripheral pressure, continuous measurement of the two upper arm blood pressure when sitting. Results： When sitting, bilateral upper extremity blood pressure difference was not significant, difference on both sides of the mean blood pressure or less the same. Systolic blood pressure higher than the left margin are the number of right 7.35mmHg, right above the left 6.96mmHg! diastolic left than the right margin are the number of 7.21mmHg, Right above the left 6.88mmHg. Conclusion： The overwhelming majority of the people when the two--seat margin in the upper limb blood pressure 0 - 10mmHg, if a significant difference should be further examination to exclude other lesions.