著衣測量血壓對結果影響的meta分析

The Effect of Sleeved Arms on Blood Pressure Measurement: Meta Analysis

湯麗娟(Lai-Kun Tong) ； 王思琛(Si-Chen Wang)

《澳門護理雜誌》 14卷2期 (2015/12) Pp. 12-15

摘要

目的: 采用meta 分析方法評價著衣測量血壓對測量結果的準確性。方法：檢索CNKI、Pubmed、Academic Search Complete 數據庫1990 年1 月至2015 年4 月發表有關著衣與裸臂測量血壓準確性比較的中英文文獻，收集相關數據，利用Review Manager 5.2 軟件進行meta 分析。結果：共納入13 篇文獻，總測量2284 例次。meta 分析結果顯示，著衣測量血壓對收縮壓影響的MD=-1.27（95%CI=-3.15 ～0.62），對舒張壓影響的MD=-0.91（95%CI=-2.23 ～ 0.41），差異均無統計學意義。結論 醫護人員在為正常血壓人群，測量血壓時可隔著厚度小於5mm 的衣服進行測量。但為異常血壓人群測量血壓，則按標準方法操作。

關鍵字

測量血壓 ； 著衣 ； meta分析

並列摘要

Objective: To assess the effect of sleeved arms on blood pressure (BP) measurement. Method: Searching the literatures from CNKI, Pubmed and Academic Search Complete databases between January 1990 and April 2015. Performing meta-analysis of the randomized controlled trials by software RevMan 5.2. Results: 13 studies involving 2284cases were finally included. There were no significant differences between sleeved and non-sleeved arm on systolic BP measurements (MD=-1.27,95%CI=-3.15~0.62) and diastolic BP measurements (MD=0.91,95%CI=-2.23~0.41). Conclusion: The patients who have no abnormal BP history can be measured BP with clothing (＜5mm).

並列關鍵字

blood pressure ； sleeved arm ； meta analysis