查詢結果分析
相關文獻
- Effect of Arm Spasticity Grade on Blood Pressure Measurement
- 圍術期過敏性休克
- Severe Preeclampsia-associated Bilateral Serous Retinal Detachment: A Case Report
- Hereditary Spastic Paraplegia--Clinical Analysis and Experience of Rehabilitation: A Case Report
- 小孩熱痙攣的處理
- AROTINOLOL治療原發性高血壓的臨床研究
- 運動對高血壓的影響
- 運動後低血壓反應與血壓控制之探討
- Unexpected Pheochromocytoma--A Case Report of Anesthesia in a Uremic Patient
- Relationship between Microalbuminuria, Left Ventricular Mass and Function in Essential Hypertension
頁籤選單縮合
題 名 | Effect of Arm Spasticity Grade on Blood Pressure Measurement=上臂痙攣程度對於血壓量測的影響 |
---|---|
作 者 | 林嘉敏; 羅惠郁; 李偉強; 陳孟泰; | 書刊名 | 臺灣復健醫學雜誌 |
卷 期 | 41:3 2013.09[民102.09] |
頁 次 | 頁173-180 |
分類號 | 415.932 |
關鍵詞 | 血壓; 痙攣; 修正版阿修伍爾斯氏痙攣量表; Blood pressure; Spasticity; Modified Ashworth scale; |
語 文 | 英文(English) |
中文摘要 | 前言:過去研究指出中風病人患側上臂痙攣可能對血壓量測有影響,然而,痙攣對血壓量測如何影響結果卻不盡相同,在某些中風病患,有時無可避免需要量測病人患側手的血壓,故本研究之目的為探討痙攣程度對於中風病人血壓量測的影響大小。方法:蒐集50位桃園醫院復健科病房中風後單側無力病患。以修正版阿修伍爾斯氏痙攣量表(modified Ashworth scale)評估受試者上臂痙攣的程度,以血壓計(CSI criticare systems inc. 560DXN)量測兩側肱動脈壓。以t檢定比較患側與健側血壓的差異性,以變異數分析(ANOVA)檢定不同痙攣程度組間血壓變化的差異性,並用斯皮爾曼等級相關(spearman rank correlation)評估其不同痙攣程度與其平均血壓差之間的相關性。結果:在痙攣程度較小時(修正版阿修伍爾斯氏痙攣量表=0,1,1+),雙側血壓無顯著差異,而痙攣程度較大時(修正版阿修伍爾斯氏痙攣量表≥2),患側血壓較健側高,其差異達統計上顯著性。而不同痙攣程度與其對照的雙側血壓差呈正相關並達統計上的顯著性。結論:不同的痙攣程度可能會影響到血壓量測,高痙攣(修正版阿修伍爾斯氏痙攣量表≥2)的中風病患可能使患側有較高的測量血壓值。 |
英文摘要 | Objective: The arm spasticity in patients with stroke has been proved to affect blood pressure measurement. However, earlier studies showed inconsistent results of how the spasticity affected the measurement of blood pressure. In some cases, measurement of blood pressure in patients' involved arm is necessary, so the purpose of this study was to investigate the effect of spasticity grade on blood pressure measurement in patients with stroke.Methods: We recruited 50 patients with hemiplegia or hemiparesis after stroke. The grade of arm spasticity was assessed using the modified Ashworth scale (MAS), while the bilateral brachial artery pressure was measured using an electronic sphygmomanometer. Differences in blood pressure between normal and involved arm were compared using student's t-test. We used ANOVA to analyze group differences in blood pressure changes at different grades of spasticity, and performed Spearman rank correlation to evaluate the correlation between different spasticity levels and differences in mean blood pressure.Results: Inter-arm blood pressure showed no significant difference when the grade of arm spasticity was low (MAS=0, 1, 1+), but blood pressure on the involved side was higher than normal side when the spasticity grade was high (MAS≥2). Differences in spasticity grade were positively correlated with inter-arm differences in blood pressure (Spearman rank correlation coefficient=0.43; p<0.05).Conclusions: Grade of arm spasticity may affect blood pressure measurement. Higher blood pressure on the spastic arm may be measured in patients with severe spasticity (MAS≥2). |
本系統中英文摘要資訊取自各篇刊載內容。