李锋-血压测量-1剖析.ppt

6 使用降压药 ①如需了解患者不服药时真实的血压状况，对能够停用降压药物者，建议在密切观察下停药５个半衰期以上后测量血压。 ②血压测量时间：如要了解降压药物的疗效，应根据降压药物的峰值及谷值时间测量血压，一般应当测量降压药物的谷值时的血压。 ③血压测量方法：某些降压药物可引起体位性低血压,这类患者需加测站立位血压。 7 运动血压：100W标准塌车试验：运动SBP上限180mmHg，运动后6min内下降至静态水平 8 急症：持续动态监测血压 特殊人群血压测量 血压测量常见问题？ 开始应充气到多少？ 放气速度通常是多少？ 严重心动过缓（40～50）时，放气速度多少？ 速度过快对收缩压与舒张压有何影响？ 怎样正确的读数？ 血压测量次数是多少？间隔多少时间再测？ 上臂过于粗壮肥胖者，无合适袖带，怎么测压？ 上肢动脉闭塞时怎么测压？ 血压测量部位 左、右上肢哪个高？两上肢血压相差多少？两上肢血压存在差异时，以哪个为准？ 上肢与下肢哪个血压高？肱动脉与股动脉比哪个血压高？ 坐位、卧位、立位对血压有何影响？ 怎么判断体位性低血压？ 什么是假性高血压？什么是白大衣效应？ 医生和护士血压测值有无差别？ 受试者测压前注意事项有哪些？ 3. 排除影响血压的因素： (1)袖带过宽测得血压值偏低； 袖带过窄测得血压值偏高。 (2)袖带过紧测得血压值偏低； 袖带过松测得血压值偏高。 (3)肱动脉高于心脏水平，测得血压值偏低， 肱动脉低于心脏水平，测得血压值偏高。 (4)视线低于汞柱，使血压读数偏高； 视线高于汞柱，使血压读数偏低。 * Subsequently, others have studied the BpTRU in both research and clinical settings. This study was presented by Dr. Martin Myers of the U. of Toronto at the CHS meeting last October, and will be published in the American Journal of Hypertension next month. In comparing the BpTRU to a specialist BP, FP BP, research technician and ABP it shows the BpTRU to be as accurate as a research technician. * Subsequently, others have studied the BpTRU in both research and clinical settings. This study was presented by Dr. Martin Myers of the U. of Toronto at the CHS meeting last October, and will be published in the American Journal of Hypertension next month. In comparing the BpTRU to a specialist BP, FP BP, research technician and ABP it shows the BpTRU to be as accurate as a research technician. * Subsequently, others have studied the BpTRU in both research and clinical settings. This study was presented by Dr. Martin Myers of the U. of Toronto at the CHS meeting last October, and will be published in the American Journal of Hypertension next month. In comparing the BpTRU to a specialist BP, FP BP, research technician and ABP it shows the BpTRU to be as accurate as a research technician. * Subsequently, others have studied the BpTRU in both research and clinical settings. This study wa