测血压到底用左手还是右手？最新指南给你答案
<p style="outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="color: rgb(68, 68, 68); font-family: ���ź�, "Microsoft Yahei", Tahoma, Helvetica, SimSun, sans-serif;"><font size="3">近日，欧洲高血压学会第31届“高血压与心血管保护”科学会议发布数据，过去30年间，全球30~79岁高血压患者人数从6.5亿增至12.8亿。</font></span></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br><br></font></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br></font></p><p><font size="3">高血压作为一种慢性病，需要长期监测管理，在家自测血压就是防控的重要措施之一。</font></p><p><font size="3">但不少人觉得，自测血压并不准确，且左右臂数值不同，到底该以左侧还是右侧为准?</font></p><p style="margin-bottom: 0px;"><font size="3"><span style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">10月8日是全国高血压日，</span>邀请专家解读左右手的血压差异，教你测血压的科学方式。</font></p><p style="margin-bottom: 0px;outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3"><br style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"></font></p><section style="outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; white-space: normal; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; color: rgb(62, 62, 62); background-color: rgb(255, 255, 255); visibility: visible; overflow-wrap: break-word !important;"><section powered-by="xiumi.us" style="outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><section style="margin-top: 10px;outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><section style="padding-right: 1em;padding-left: 1em;outline: 0px;max-width: 100%;box-sizing: border-box;display: inline-block;text-align: center;visibility: visible;overflow-wrap: break-word !important;"><span style="padding: 0.3em 0.5em; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; border-radius: 0.5em; background-color: rgb(71, 193, 168); color: rgb(255, 255, 255); visibility: visible; overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3">受访专家</font></strong></span></section></span></section></section><section style="margin-top: -1em;padding: 20px 10px 10px;outline: 0px;max-width: 100%;box-sizing: border-box;border-width: 1px;border-style: solid;border-color: rgb(192, 200, 209);background-color: rgb(239, 239, 239);text-align: center;visibility: visible;overflow-wrap: break-word !important;"><section powered-by="xiumi.us" style="outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;visibility: visible;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;text-align: left;visibility: visible;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3">北京大学人民医院心内科主任医师 刘健</font></strong></span></p><p style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3">中国中医科学院西苑医院心血管科主任医师 徐浩</font></strong></span></p><p style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3">深圳大学总医院心血管内科副主任医师 董逢泉</font></strong></span></p></section></section></section></section></section></section><p style="margin-bottom: 0px;outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><font size="3"><br></font></p><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;transform: translate3d(-3px, 0px, 0px);margin: 15px 0% 10px;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: middle;align-self: center;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-style: solid;border-width: 1px;border-color: rgb(102, 102, 102);box-shadow: rgb(71, 193, 168) 5px 5px 0px;background-color: rgb(255, 255, 255);box-sizing: border-box;"><section style="text-align: right;justify-content: flex-end;transform: translate3d(-12px, 0px, 0px);margin-top: -7px;margin-right: 0%;margin-left: 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 33px;vertical-align: middle;box-shadow: rgb(0, 0, 0) 0px 0px 0px;flex: 0 0 auto;height: auto;align-self: center;line-height: 0;background-color: rgb(254, 255, 255);border-width: 0px;box-sizing: border-box;"><section style="transform: rotateZ(37deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: left;transform: translate3d(8px, 0px, 0px);margin: 2px 0% -3px;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 18px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-radius: 16px;border-style: none;border-color: rgb(62, 62, 62);box-shadow: rgb(74, 187, 168) 9px -6px 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section><section style="margin-right: 0%;margin-bottom: 4px;margin-left: 0%;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="padding-right: 20px; padding-left: 20px; text-align: center; color: rgb(102, 102, 102); line-height: 2; box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">人体四肢血压有个规律</font></strong></p></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><p><font size="3">正常情况下，人体四肢的血压有一定规律。</font></p><p><font size="3">右侧上臂比左侧上臂血压高5~10毫米汞柱，左右下肢血压基本一致，下肢收缩压比上肢高20~40毫米汞柱。</font></p><p><font size="3">但如果上肢或下肢某根血管发生堵塞，上述差值很可能出现异常。</font></p><section style="box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;margin-top: 10px;margin-bottom: 10px;text-align: left;justify-content: flex-start;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: bottom;width: auto;flex: 0 0 0%;height: auto;align-self: flex-end;margin-right: 4px;box-sizing: border-box;"><section style="transform: perspective(0px);transform-style: flat;box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: center;transform: rotateX(180deg);box-sizing: border-box;"><section style="display: inline-block;width: 3px;height: 10px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section><section style="display: inline-block;vertical-align: bottom;width: auto;flex: 0 0 0%;height: auto;align-self: flex-end;box-sizing: border-box;"><section style="transform: perspective(0px);transform-style: flat;box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: center;transform: rotateX(180deg);box-sizing: border-box;"><section style="display: inline-block;width: 3px;height: 16px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section><section style="display: inline-block;vertical-align: bottom;width: auto;border-bottom: 1px solid rgb(71, 193, 168);border-bottom-right-radius: 0px;flex: 0 0 auto;align-self: flex-end;min-width: 10%;max-width: 100%;height: auto;padding: 4px 4px 4px 11px;box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">右臂vs左臂，测哪个更准？</font></strong></p></section></section></section></section><p><font size="3">理论上来说，距离源头较近的一侧压力更大，就像距离水源最近的水龙头内总是压力最大、出水最快。</font></p><p style="text-align: center;"><font size="3"><br><br></font></p><p><font size="3">人体的右手肱动脉来自头臂干分支，左手肱动脉来自左锁骨下动脉，按“水龙头出水”理论，右臂测量血压一定高于左臂。</font></p><p><font size="3">因此，权威的《诊断学》给出的标准推荐是测右手手臂血压。</font></p><p><span style="color: rgb(136, 136, 136);"><font size="3">但也有医生对数百名患者的左右上臂血压进行对比研究发现：大多数人的左上臂舒张压要稍高于右上臂。从解剖学上看，血液从心脏到右肱动脉的距离，比到左肱动脉要远一点，这样看，右上臂血压比左上臂低，似乎也合理。</font></span></p><section style="box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;margin: 12px 0% 10px;text-align: center;justify-content: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: 14px;flex: 0 0 auto;align-self: flex-start;height: auto;line-height: 0;border-width: 0px;border-style: none;border-color: rgb(62, 62, 62);overflow: hidden;box-sizing: border-box;"><section style="transform: rotateZ(20deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="margin: -2px 0% -12px;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 22px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-style: none;border-color: rgb(62, 62, 62);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 14px;flex: 0 0 auto;align-self: flex-start;height: auto;line-height: 0;border-width: 0px;border-style: none;border-color: rgb(62, 62, 62);overflow: hidden;margin-left: -6px;box-sizing: border-box;"><section style="transform: rotateZ(20deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="margin: -2px 0%;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 22px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-style: none;border-color: rgb(62, 62, 62);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;height: auto;align-self: flex-start;background-color: rgb(246, 251, 254);margin-top: 3px;margin-left: -20px;padding: 16px;box-sizing: border-box;"><section style="margin: 14px 0% 10px;box-sizing: border-box;" powered-by="xiumi.us"><section style="letter-spacing: 1px; line-height: 1.8; padding-right: 14px; padding-left: 14px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal;box-sizing: border-box;"><font size="3">根据最新《中国高血压防治指南(2018年修订版)》，<strong>首诊时应测量左右两上臂血压，以血压读数较高的一侧作为测量的上臂</strong>。</font></p></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;transform: translate3d(-3px, 0px, 0px);margin: 15px 0% 10px;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: middle;align-self: center;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-style: solid;border-width: 1px;border-color: rgb(102, 102, 102);box-shadow: rgb(71, 193, 168) 5px 5px 0px;background-color: rgb(255, 255, 255);box-sizing: border-box;"><section style="text-align: right;justify-content: flex-end;transform: translate3d(-12px, 0px, 0px);margin-top: -7px;margin-right: 0%;margin-left: 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 33px;vertical-align: middle;box-shadow: rgb(0, 0, 0) 0px 0px 0px;flex: 0 0 auto;height: auto;align-self: center;line-height: 0;background-color: rgb(254, 255, 255);border-width: 0px;box-sizing: border-box;"><section style="transform: rotateZ(37deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: left;transform: translate3d(8px, 0px, 0px);margin: 2px 0% -3px;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 18px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-radius: 16px;border-style: none;border-color: rgb(62, 62, 62);box-shadow: rgb(74, 187, 168) 9px -6px 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section><section style="margin-right: 0%;margin-bottom: 4px;margin-left: 0%;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="padding-right: 20px; padding-left: 20px; text-align: center; color: rgb(102, 102, 102); line-height: 2; box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">6类人要测四肢血压</font></strong></p></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><p><font size="3">平时都只测一侧胳膊的血压，为什么有时去医院会测四肢？其实，四肢血压测量是临床上重要的检查手段。</font></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br><br></font></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br></font></p><p><font size="3">通过四肢血压同步测量，可计算获得两臂间血压差、两踝间血压差和踝臂指数等，这些参数有助医生进行临床诊断和预测心血管病风险。</font></p><p><font size="3">哪些人需要测四肢血压？《成人四肢血压测量的中国专家共识》给出重点推荐人群：</font></p><section style="box-sizing: border-box;"><section style="text-align: center;margin: 10px 0%;justify-content: center;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;flex: 0 0 auto;height: auto;border-width: 1px;border-style: none solid solid;border-color: rgb(254, 222, 69) rgb(71, 193, 168) rgb(71, 193, 168);align-self: flex-start;box-sizing: border-box;"><section style="text-align: right; margin-right: 0%; margin-left: 0%; box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;height: 3px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);box-sizing: border-box;"><section style="text-align: center;margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;transform: matrix(1, 0, -0.2, 1, 0, 0);border-style: none;border-width: 0px;border-color: rgb(62, 62, 62);background-color: rgba(255, 255, 255, 0);width: 100%;height: auto;box-sizing: border-box;"><section style="margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;transform: matrix(1, 0, -0.2, 1, 0, 0);border-style: none;border-width: 0px;border-color: rgb(62, 62, 62);background-color: rgba(254, 255, 255, 0);width: 100%;height: auto;box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;text-align: left;justify-content: flex-start;box-sizing: border-box;" powered-by="xiumi.us"><font size="3"><section style="display: inline-block;vertical-align: top;width: auto;box-shadow: rgb(0, 0, 0) 0px 0px 0px;flex: 0 0 0%;align-self: flex-start;height: auto;box-sizing: border-box;"><section style="text-align: center;display: flex;flex-flow: row nowrap;justify-content: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;flex: 0 0 0%;height: auto;align-self: flex-start;padding-right: 2px;padding-left: 1px;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 3px;height: 55px;vertical-align: top;overflow: hidden;background-color: rgb(255, 255, 255);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;flex: 0 0 0%;align-self: flex-start;height: auto;box-sizing: border-box;"><section style="text-align: center;display: flex;flex-flow: row nowrap;justify-content: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;flex: 0 0 0%;height: auto;align-self: flex-start;padding-right: 2px;padding-left: 1px;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 3px;height: 55px;vertical-align: top;overflow: hidden;background-color: rgb(86, 86, 86);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;flex: 0 0 0%;align-self: flex-start;height: auto;box-sizing: border-box;"><section style="text-align: center;display: flex;flex-flow: row nowrap;justify-content: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;flex: 0 0 0%;height: auto;align-self: flex-start;padding-right: 2px;padding-left: 1px;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 3px;height: 55px;vertical-align: top;overflow: hidden;background-color: rgb(86, 86, 86);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;flex: 0 0 0%;align-self: flex-start;height: auto;box-sizing: border-box;"><section style="text-align: center;display: flex;flex-flow: row nowrap;justify-content: center;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: top;flex: 0 0 0%;height: auto;align-self: flex-start;padding-right: 2px;padding-left: 1px;box-sizing: border-box;"><section style="box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 3px;height: 55px;vertical-align: top;overflow: hidden;background-color: rgb(86, 86, 86);box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section></font></section></section></section></section></section></section></section><section style="justify-content: center;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;padding: 10px 15px;align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="color: rgb(79, 79, 79); text-align: justify; box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><font size="3">1.臂间血压差增大者，若双上肢收缩压差值大于20毫米汞柱，应测量四肢血压，以便全面了解全身血管病变情况。</font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3"><br style="box-sizing: border-box;"></font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3">2.青少年高血压患者，可通过四肢血压测量排除先天性心脏病。<br style="box-sizing: border-box;"><br style="box-sizing: border-box;">3.急性胸痛患者，主要为了进行急性主动脉夹层鉴别诊断。</font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3"><br style="box-sizing: border-box;"></font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3">4.出现间歇性跛行或肢体无力、怕冷，以及糖尿病患者，四肢血压测量有助确诊下肢动脉疾病。</font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3"><br style="box-sizing: border-box;"></font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3">5.血压升高程度与靶器官损害不相称，以及难治性高血压患者，有助查找具体病因。</font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3"><br style="box-sizing: border-box;"></font></p><p style="white-space: normal;box-sizing: border-box;"><font size="3">6.疑似大动脉炎或既往患过大动脉炎的患者，可能出现四肢血压差异。</font></p></section></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3">由于四肢血压差异与心血管病风险相关，因此四肢血压测量也可作为心血管病高危患者的一种筛查措施。</font></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;transform: translate3d(-3px, 0px, 0px);margin: 15px 0% 10px;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: middle;align-self: center;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-style: solid;border-width: 1px;border-color: rgb(102, 102, 102);box-shadow: rgb(71, 193, 168) 5px 5px 0px;background-color: rgb(255, 255, 255);box-sizing: border-box;"><section style="text-align: right;justify-content: flex-end;transform: translate3d(-12px, 0px, 0px);margin-top: -7px;margin-right: 0%;margin-left: 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 33px;vertical-align: middle;box-shadow: rgb(0, 0, 0) 0px 0px 0px;flex: 0 0 auto;height: auto;align-self: center;line-height: 0;background-color: rgb(254, 255, 255);border-width: 0px;box-sizing: border-box;"><section style="transform: rotateZ(37deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: left;transform: translate3d(8px, 0px, 0px);margin: 2px 0% -3px;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 18px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-radius: 16px;border-style: none;border-color: rgb(62, 62, 62);box-shadow: rgb(74, 187, 168) 9px -6px 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section><section style="margin-right: 0%;margin-bottom: 4px;margin-left: 0%;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="padding-right: 20px; padding-left: 20px; text-align: center; color: rgb(102, 102, 102); line-height: 2; box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">一天中什么时候测血压更准？</font></strong></p></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><p><font size="3">白天血压有两个高峰：上午6~10点及下午16~20点，在这两个时间段内测量血压，可了解一天中血压的最高值。<br></font></p><p><font size="3">服降压药后2~6小时内测血压，可反映药物的最大降压效果。</font></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br><br></font></p><p style="text-align: center;margin-bottom: 0em;"><font size="3"><br></font></p><p><font size="3">要提醒的是，高血压患者最好选择每天固定时间测量。血压升高时间的节律性不尽相同，患者要经常自测，以便了解血压变化的规律。</font></p><p><font size="3">出现不适如头痛、头晕时，要及时自测；开始服药或更换降压药时，尤其要规律家庭血压监测。</font></p><section style="box-sizing: border-box;"><section style="text-align: left;margin: 10px 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;min-width: 10%;max-width: 100%;vertical-align: top;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-color: rgba(39, 160, 122, 0.2);padding-right: 10px;border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-color: rgba(40, 160, 122, 0.2);padding-right: 10px;border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-image: linear-gradient(270deg, rgb(91, 210, 173) 0%, rgb(39, 160, 122) 100%);border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="color: rgb(255, 255, 255); padding-right: 15px; padding-left: 15px; text-align: justify; box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">初诊高血压患者或血压不稳定者</font></strong></p></section></section></section></section></section></section></section></section></section></section><p><font size="3">建议每天早晨和晚上测量血压。测量血压时，应至少测2次，间隔1~2分钟。</font></p><p><span style="color: rgb(136, 136, 136);"><font size="3">如果差别≤5毫米汞柱，则取两次测量的平均值；如果差别>5毫米汞柱，应再次测量，取3次读数的平均值记录。</font></span></p><p><font size="3">建议连续测量家庭血压7天，取后6天血压平均值。</font></p><section style="box-sizing: border-box;"><section style="text-align: left;margin: 10px 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;min-width: 10%;max-width: 100%;vertical-align: top;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-color: rgba(39, 160, 122, 0.2);padding-right: 10px;border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-color: rgba(40, 160, 122, 0.2);padding-right: 10px;border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="justify-content: flex-start;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;background-image: linear-gradient(270deg, rgb(91, 210, 173) 0%, rgb(39, 160, 122) 100%);border-width: 0px;border-radius: 100px 100px 0px;border-style: none;border-color: rgb(62, 62, 62);align-self: flex-start;flex: 0 0 auto;box-sizing: border-box;"><section style="color: rgb(255, 255, 255); padding-right: 15px; padding-left: 15px; text-align: justify; box-sizing: border-box;" powered-by="xiumi.us"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">血压控制平稳且达标者</font></strong></p></section></section></section></section></section></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3">可每周自测1~2天血压，早晚各1次。每次测量后应详细记录日期、时间以及所有血压读数，而不是只记录平均值。</font></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><section style="box-sizing: border-box;"><section style="text-align: center;justify-content: center;transform: translate3d(-3px, 0px, 0px);margin: 15px 0% 10px;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: auto;vertical-align: middle;align-self: center;min-width: 10%;max-width: 100%;flex: 0 0 auto;height: auto;border-style: solid;border-width: 1px;border-color: rgb(102, 102, 102);box-shadow: rgb(71, 193, 168) 5px 5px 0px;background-color: rgb(255, 255, 255);box-sizing: border-box;"><section style="text-align: right;justify-content: flex-end;transform: translate3d(-12px, 0px, 0px);margin-top: -7px;margin-right: 0%;margin-left: 0%;display: flex;flex-flow: row nowrap;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 33px;vertical-align: middle;box-shadow: rgb(0, 0, 0) 0px 0px 0px;flex: 0 0 auto;height: auto;align-self: center;line-height: 0;background-color: rgb(254, 255, 255);border-width: 0px;box-sizing: border-box;"><section style="transform: rotateZ(37deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: left;transform: translate3d(8px, 0px, 0px);margin: 2px 0% -3px;box-sizing: border-box;"><section style="display: inline-block;width: 4px;height: 18px;vertical-align: top;overflow: hidden;background-color: rgb(71, 193, 168);border-width: 0px;border-radius: 16px;border-style: none;border-color: rgb(62, 62, 62);box-shadow: rgb(74, 187, 168) 9px -6px 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section><section style="margin-right: 0%;margin-bottom: 4px;margin-left: 0%;text-align: left;box-sizing: border-box;" powered-by="xiumi.us"><section style="padding-right: 20px; padding-left: 20px; text-align: center; color: rgb(102, 102, 102); line-height: 2; box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><font size="3">测血压有个标准“姿势”</font></strong></p></section></section></section></section></section><section style="margin-bottom: 0px;"><font size="3"><br></font></section><p><font size="3">正常血压应为收缩压＜120毫米汞柱，舒张压＜80毫米汞柱。若静息情况下，连续3次不同时间测得的血压值，高于140/90毫米汞柱，就可诊断为高血压。<br></font></p><p><font size="3">如何保持测量结果的稳定性？欧洲高血压学会(ESH)发布的《2021 ESH诊室和诊室外血压测量的实践指南》提供了基本建议。</font></p><section style="box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;margin: 10px 0%;text-align: left;justify-content: flex-start;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: bottom;width: auto;flex: 0 0 auto;align-self: flex-end;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="transform: translate3d(8px, 0px, 0px);margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="color: rgb(115, 66, 215); padding-right: 10px; padding-left: 10px; letter-spacing: 0px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: rgb(71, 193, 168);box-sizing: border-box;"><font size="3">测血压前忌烟酒</font></span></strong></p></section></section><section style="margin-right: 0%;margin-bottom: 3px;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="background-color: rgb(71, 193, 168);height: 1px;box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="transform: translate3d(10px, 0px, 0px); margin: -20px 0% -2px; box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 22px;height: 22px;vertical-align: top;overflow: hidden;border-left: 1px solid rgb(71, 193, 168);border-bottom-left-radius: 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section><section style="display: inline-block;vertical-align: bottom;width: auto;align-self: flex-end;flex: 0 0 0%;height: auto;padding-right: 6px;padding-left: 6px;box-sizing: border-box;"><section style="transform: rotateZ(45deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: center; margin-right: 0%; margin-left: 0%; box-sizing: border-box;"><section style="display: inline-block;width: 8px;height: 8px;vertical-align: top;overflow: hidden;border-style: solid;border-width: 2px;border-color: rgb(71, 193, 168);box-shadow: rgba(255, 255, 255, 0) 2px -2px 0px;background-color: rgba(149, 114, 239, 0.12);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section></section><p><font size="3">测血压前30分钟避免喝咖啡、喝酒及吸烟，坐靠背椅休息3~5分钟，测压时最好不要说话或交谈。</font></p><section style="box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;margin: 10px 0%;text-align: left;justify-content: flex-start;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: bottom;width: auto;flex: 0 0 auto;align-self: flex-end;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="transform: translate3d(8px, 0px, 0px);margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="color: rgb(115, 66, 215); padding-right: 10px; padding-left: 10px; letter-spacing: 0px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: rgb(71, 193, 168);box-sizing: border-box;"><font size="3">调整袖带松紧、大小</font></span></strong></p></section></section><section style="margin-right: 0%;margin-bottom: 3px;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="background-color: rgb(71, 193, 168);height: 1px;box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="transform: translate3d(10px, 0px, 0px); margin: -20px 0% -2px; box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 22px;height: 22px;vertical-align: top;overflow: hidden;border-left: 1px solid rgb(71, 193, 168);border-bottom-left-radius: 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section><section style="display: inline-block;vertical-align: bottom;width: auto;align-self: flex-end;flex: 0 0 0%;height: auto;padding-right: 6px;padding-left: 6px;box-sizing: border-box;"><section style="transform: rotateZ(45deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: center; margin-right: 0%; margin-left: 0%; box-sizing: border-box;"><section style="display: inline-block;width: 8px;height: 8px;vertical-align: top;overflow: hidden;border-style: solid;border-width: 2px;border-color: rgb(71, 193, 168);box-shadow: rgba(255, 255, 255, 0) 2px -2px 0px;background-color: rgba(149, 114, 239, 0.12);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section></section><p><font size="3">使用大小合适的袖带，袖带气囊中部放置于上臂肱动脉的上方，袖带边缘不要卷起，袖带的下缘在肘窝上方2~3厘米。</font></p><p><font size="3">袖带要注意松紧适度，一般认为能塞进1~2个指头时较合适。</font></p><p style="text-align: center;"><font size="3"><br><br></font></p><section style="box-sizing: border-box;"><section style="display: flex;flex-flow: row nowrap;margin: 10px 0%;text-align: left;justify-content: flex-start;box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: bottom;width: auto;flex: 0 0 auto;align-self: flex-end;min-width: 10%;max-width: 100%;height: auto;box-sizing: border-box;"><section style="transform: translate3d(8px, 0px, 0px);margin-right: 0%;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="color: rgb(115, 66, 215); padding-right: 10px; padding-left: 10px; letter-spacing: 0px; text-align: justify; box-sizing: border-box;"><p style="white-space: normal;box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: rgb(71, 193, 168);box-sizing: border-box;"><font size="3">这个姿势测血压更准</font></span></strong></p></section></section><section style="margin-right: 0%;margin-bottom: 3px;margin-left: 0%;box-sizing: border-box;" powered-by="xiumi.us"><section style="background-color: rgb(71, 193, 168);height: 1px;box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="transform: translate3d(10px, 0px, 0px); margin: -20px 0% -2px; box-sizing: border-box;" powered-by="xiumi.us"><section style="display: inline-block;width: 22px;height: 22px;vertical-align: top;overflow: hidden;border-left: 1px solid rgb(71, 193, 168);border-bottom-left-radius: 0px;box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section><section style="display: inline-block;vertical-align: bottom;width: auto;align-self: flex-end;flex: 0 0 0%;height: auto;padding-right: 6px;padding-left: 6px;box-sizing: border-box;"><section style="transform: rotateZ(45deg);box-sizing: border-box;" powered-by="xiumi.us"><section style="text-align: center; margin-right: 0%; margin-left: 0%; box-sizing: border-box;"><section style="display: inline-block;width: 8px;height: 8px;vertical-align: top;overflow: hidden;border-style: solid;border-width: 2px;border-color: rgb(71, 193, 168);box-shadow: rgba(255, 255, 255, 0) 2px -2px 0px;background-color: rgba(149, 114, 239, 0.12);box-sizing: border-box;"><font size="3"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></font></section></section></section></section></section></section><p><font size="3">测量时，上臂袖带中间要与心脏处于同一水平线，最好将手臂伸直放在桌上，保持舒适姿势。</font></p><p><font size="3">第一次应测量左右上臂血压，当左右上臂血压不一致时，采用数值较高侧手臂测量的血压值。</font></p><p><font size="3">如果血压不稳定或处于降压药物调整期，血压波动大者可增加血压监测次数，血压较高时应重复测量数次后及时就医，不可自行调整降压药物种类和剂量。</font></p><p><font size="3">精神高度焦虑的患者，不建议频繁自测血压。▲</font></p> 好的，谢谢楼主分享 有点懂了 了解了，多谢分享 都是把手一伸，哪记得左右 {:11_1152:} 感谢楼主分享！ 每次去都是右手测的 哦哦，这样的 好的，了解了解 晓得了，多谢分享！！ 一般都是测右上臂 多数用右手 {:11_1143:} 医生怎么说就怎么做
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