血压仪的原理及测量时的注意事项

1. 关于血压测量的历史

在现代，血压主要是用电子血压计测量，但过去没有电子血压计，所以我们使用了所谓的水银柱。

这是俄军外科医生尼古拉·科罗特科夫（Nikolai Korotkov）^[1]发明的，因此
以血管搏动声为指标测量血压的方法被称为【柯洛特柯夫法】。使用水银血压仪听血压就是听柯氏音，方法就是来自这位医生^[2]。

血压单位 [mmHg]：表示汞的压力 [Hg] 增加了多少毫米。

之后，就变成了现在主流的【示波法】。

示波法以血管脉压为指标来测量血压，这是血流流动时所必需的，而不是血管搏动的声音。

今天大多数电子血压仪都使用这种示波法。

2、示波法的优缺点

示波法根据脉压的上升和下降确定收缩压（最高血压）和舒张压（最低血压）。

因此，也可以测量搏动血管的脉搏率。

这要容易得多，因为我不必在测量血压和脉搏后测量两次生命体征。

然而，另一方面，血压可能会根据脉搏的状态而波动。

这意味着什么？

由于收缩压和舒张压是通过示波式血压计中的脉压来测量的，所以当脉压较弱或出现脉搏缓慢或心动过速等心律失常时，血压值会出现波动。

因此，对于心律失常、心动过缓或脉压较弱的人，可能无法获得正确的值。

因此，如果有心律失常，用【柯洛特柯夫法】测量更容易理解正确值，因此请注意，示波法方便但是并不意味着比其它方式好。

3、总结

● 目前电子血压仪大多采用示波法

● 示波法通过测量脉压来显示血压

● 心律失常、心律失常，脉压容易出现波动

● 对于心律失常者，可采用柯氏血压测量法。

参考

1. ^Nikolai Korotkov https://en.jinzhao.wiki/wiki/Nikolai_Korotkov
2. ^柯氏音法 https://baike.baidu.com/item/%E6%9F%AF%E6%B0%8F%E9%9F%B3%E6%B3%95/2458418

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鱼跃电子血压计高精准血压测量仪家用臂式充电全自动高血压测压仪 券后价￥118.00 天猫 优惠券￥30.00 立即领券