意识清醒猫无创血压测量的比较:多普勒超声血压计、振荡示波法和高清示波法

乐活   2024-04-29 20:30   重庆  

 

意识清醒猫无创血压测量的比较:多普勒超声血压计、振荡示波法和高清示波法


期号Vol 26, Issue 3, March 28, 2024
作者:Marieke Knies,Erik Teske,Hans Kooistra

摘要来源:

https://doi.org/10.1177/1098612X241231471

译员:深蓝猫猫侠

一校:郭嘉恩

二校:kenda

编辑:百可事乐


摘要


目的

猫常见系统性动脉高血压,会导致严重的不良后果。因此,测量血压非常重要。市面上有许多间接血压测量设备。本研究比较了意识清醒猫的无创血压测量方法,包括多普勒、示波法(petMAP Graphic II、SunTech Vet20、Cardell Insight-X0000)和高清示波法设备。


方法


在这项前瞻性研究中,根据美国兽医内科学院共识声明的推荐,使用不同设备对32只猫的血压进行了测量。评估了血压(收缩压[SBP]、舒张压[DBP]、平均动脉压[MAP])、完成测量所需时间、需要的尝试次数、不同设备间血压测量的变异系数(CV)、完成测量的容易程度和猫的表观压力水平。


结果


在获取血压读数所需时间和获取六个可靠测量所需的尝试次数方面,不同设备之间存在显著差异。多普勒设备的CV明显小于其他设备的CV,但设备间没有其他差异。由petMAP设备测量的平均SBP、DBP和MAP显著高于其他设备的测量值。不同机器之间测量的感知难度没有显著差异。与其他设备相比,使用多普勒设备进行测量给猫带来的压力明显更高,但并未导致SBP增加。


结论与相关性


对于意识清醒的猫,使用多普勒设备测量血压是快速、相对容易且可靠的。缺点是多普勒设备只能测量SBP,而示波法测量设备还能提供DBP和MAP。然而,在兽医医学中,收缩期高血压被认为是最相关的。




原文:

Comparison of Doppler ultrasonic sphygmomanometry, oscillometry and high-definition oscillometry for non-invasive blood pressure measurement in conscious cats

Marieke Knies,Erik Teske,Hans Kooistra
https://doi.org/10.1177/1098612X241231471


Abstract


Objectives

Systemic arterial hypertension is a common occurrence and can have serious adverse consequences in cats. Therefore, measuring blood pressure is very important. There are many indirect blood pressure measurement devices available. This study compared Doppler, oscillometric (petMAP Graphic II, SunTech Vet20, the Cardell Insight-X0000) and high-definition oscillometry devices for the non-invasive measurement of blood pressure in conscious cats.


Methods

In this prospective study, blood pressure was measured in 32 cats using the different devices according to the recommendations of the American College of Veterinary Internal Medicine Consensus Statement. Blood pressures (systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP]), time to complete measurements, number of attempts needed, coefficient of variation (CV) between the blood pressure measurements of the different devices, ease of completing measurements and apparent stress level of the cat were assessed.


Results

There was a significant difference between devices in the time taken to obtain blood pressure readings and the number of attempts necessary to obtain six reliable measurements. The CV of the Doppler device was significantly smaller than that of the rest of the devices, but there were no other differences between the devices. The mean SBP, DBP and MAP measured by the petMAP device were significantly higher than the measurements from the other devices. The perceived ease of measurement was not significantly different between the various machines. The perceived level of stress of measurement with the Doppler device was significantly higher compared with the other devices but did not lead to an increased SBP.


Conclusions and relevance

Using a Doppler device to measure blood pressure in conscious cats is fast, relatively easy and gives reliable results. A disadvantage is that the Doppler device can only measure SBP, while oscillometric devices also provide DBP and MAP. However, in veterinary medicine, systolic hypertension is considered the most relevant.

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