摘要
目的研究寒冷季节脱衣动作对血压的影响。方法以2009-12-2010-03就诊于心血管内科门诊[室内温度为(22.6±0.3)℃]的568例患者为研究对象。坐位休息5min后,用OMRONHEM-6000腕式血压计测量脱衣前(BPpre)、脱衣后即刻(BP0)、3min(BP3)、6min(BP6)、9min(BP9)的左腕血压,并记录年龄、性别、脱衣件数、高血压史及药物使用情况,计算血压增幅(BPIA=BP0-BPpre),以收缩压增幅(SBPIA)或舒张压增幅(DBPIA)≥5mmHg作为脱衣血压升高的标准。结果 BP0明显高于BPpre,SBPIA和DBPIA分别为(4.3±8.4)和(2.1±5.5)mmHg;脱衣件数、高血压病史是导致脱衣血压升高的重要因素;脱衣收缩压和舒张压升高的患者比例分别为41.7%和25.5%;脱衣后升高的收缩压约于休息6min时恢复到脱衣前水平,舒张压约于休息后3min时恢复到脱衣前水平。结论脱衣能导致血压明显升高,高血压患者和脱衣件数较多时尤为明显。建议脱衣后休息6min再进行血压测量。
Objective To investigate the effect of undressing on blood pressure （BP） in cold seasons. Methods A total of 568 outpatients from cardiovascular medicine department [indoor temperature（22.6±0.3）℃] between December 2009 and March 2010 were recruited. After sitting down to rest for 5 minutes, the patients left wrist BP was measured with wrist electronic manometer （OMRON HEM-6000） at different time points：before taking off the clothing （BPpre）, 0 min （BP0）, 3 min （BP3） , 6 min （BP6 ） and 9 min （BP9 ） after undressing. Age, gender, amount of undressed clothes, the history of hypertension, and antihypertensive medication were recorded. The difference between BP0 and BPpre was recorded as BP increment amplitude （BPIA） （BPIA= BP0 -BPpre）. The standard of hypertension after undressing was defined as systolic BPIA or diastolic BPIA increased by 5 mm Hg or above. Results The BP0 was significantly higher than BPpre, systolic BPIA and diastolic BPIA were （4.3 ± 8.4） and （ 2.1 ± 5.5） mm Hg respectively;The amount of undressed clothing and the history of hypertension were important factors for hypertension after undressing. The cases whose systolic blood pressure or diastolic blood pressure was in- creased due to undressing accounted for 41.7% and 25.5% respectively. It took about 6 min for systolic BP0 to re- cover to the level of BPpre, while it took about 3 rain for diastolic BPo to restore to its original. Conclusion Undr- essing can cause obviously increased BP,especially in patients with hypertension or when taking off too much cloth- ing. A 6-minute rest after undressing is recommended for the BP measurement.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2012年第12期1173-1177,共5页
Chinese Journal of Hypertension
基金
国家科技支撑计划(2008BAI68B02)课题资助
关键词
寒冷季节
血压
脱衣
测量
Cold seasons
Blood pressure
Undressing
Measurement
