动态血压与动态心电图同步监测的研究应用

1、动态血压与动态心电图同步监测动态血压与动态心电图同步监测的研究应用的研究应用谭学瑞谭学瑞(AAMI)的评价标准动态血压与动态心电图同步监测仪的一动态血压与动态心电图同步监测仪的一个例子：个例子：CardioTensMade in Hungary Meditech Ltd.五极心电导联线测压袖带血压传输管路袖带夹重350g12.48.23.35(cm)CardioTens记录仪开始按钮事件按钮液晶显示屏光纤RS232串行口背面电池仓可装4节5号碱性电池DC=46V佩带方法测量范围:血压30260mmHg,误差:3mmHg或实测值的2%测量计划设置窗口指标体系 动态血压指标体系基本由血压水平、血压

2、变异性和血压昼夜节律三部分组成。 血压水平 常用24小时血压平均值、白昼血压平均值、夜间血压平均值、最高血压值、最低血压值。昼夜划分标准未统一(6am,10pm)。总趋势是：白昼血压均值24小时血压均值夜间血压均值。 高血压负荷：指血压超过某个阈值(白昼收缩压140mmHg，舒张压90mmHg；夜间收缩压120mmHg，舒张压80mmHg)的比例。 二维指标：一般指血压和时间的含义,如:计算动态血压曲线下面积的积分。 Pressure-time Index of Trapezoid- Zakopoulos NA, et al0501001502006:006:307:007:308:008:3

3、09:009:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:300:000:301:001:302:002:303:003:304:004:305:005:306:00OclockBP (mmHg)指标体系指标体系Pressure-time Index of Trigonometric Functions-T

4、an, et al中国国家博士后科学基金资助课题中国国家博士后科学基金资助课题-动态血压的敏感参数及其可重复性研究（动态血压的敏感参数及其可重复性研究（No.2002031278）0204060801001201401601802006:006:307:007:308:008:309:009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:0022:3023:0023:300:000:301:0

5、01:302:002:303:003:304:004:305:005:30SBP (mmHg) DBP (mmHg)S=1/2absinC指标体系 血压变异性（BPV）：表示一定时间内血压波动的程度。依据其时间长短分为短期变异性（Short-term variability）、长期变异性（Long-term variability）和季节变异性（Seasonal variability）三类。 一般以时域指标，如标准差（SD），反映变异的幅度，以频域指标反映变异的速度。 短时血压变异性采用整个24小时内每30分钟血压标准差的平均值，长时血压变异性采用24小时血压的标准差。 血压变异系数（CV）

6、：即标准差/平均值，可分别求出24小时、白昼、夜间的血压变异系数，表示不同时间阶段的血压变异性。 平滑指数（SI）：为CV的倒数。指标体系5 时域BPV指标： 24小时最高和最低血压及差值（极差）； 白天和夜间血压均值及差值； 24小时血压SD和CV； 24小时血压波动趋势图； 曲线下面积（AUC）：采用梯形面积法或三角形面积法近似求出； 血压负荷：即24小时监测过程中收缩压大于140mmHg或舒张压大于90mmHg的频数百分数或相应的曲线下面积的百分数。指标体系6 频域BPV指标 包括：极低频（very low-frequency， VLF）、低频（low-frequency，LF）、中频(

7、mid-frequency，MF)、和高频 (high-frequency，HF)的绝对值，规一化值LFnu、HFnu、及高/低比值（LF/HF）。其中以LFnu、HFnu、及LF/HF三个指标最具稳定性和可靠性。7 直方图或频率图。8 BPV的非线性分析 如Lorenz散点图，非线性分析BPV仍处在初始阶段。指标体系 血压呈昼夜节律性：一般昼高夜低，凌晨血压急骤上升，白昼基本上处于相对较高的水平。多数人有双峰（5a.m.9a.m.和5p.m.9p.m.）。大多数高血压患者的血压昼夜曲线也相类似。 昼夜指数（DI）：即夜间血压下降百分率值来表达动态血压的昼夜节律状况。多将DI|T| - FIR

8、ST1 117.7333333 13.6876726 33.3131317 0.0001 FIRST2 122.0000000 22.1294891 21.3517794 0.0001 FIRST3 124.8000000 13.5920145 35.5611983 0.0001 FIRST4 126.3333333 16.8551250 29.0289687 0.0001 FIRST5 121.4000000 9.5678032 49.1419159 0.0001 FIRST6 121.7333333 13.8999829 33.9188312 0.0001 FIRST7 127.33333

9、33 12.5109476 39.4182676 0.0001 FIRST8 130.6000000 9.1167037 55.4818544 0.0001 FIRST9 127.6000000 11.5313238 42.8565431 0.0001 FIRST10 125.2666667 15.9439494 30.4288292 0.0001 FIRST11 121.3333333 9.5219046 49.3516792 0.0001 FIRST12 127.0000000 11.2567440 43.6954846 0.0001 FIRST13 121.5333333 12.2174

10、738 38.5265058 0.0001 FIRST14 121.3333333 15.3886167 30.5369864 0.0001 FIRST15 113.4666667 12.1588690 36.1427128 0.0001 FIRST16 114.9333333 10.2571694 43.3974393 0.0001 FIRST17 113.0666667 9.1062511 48.0884297 0.0001 FIRST18 124.8666667 32.7825447 14.7519518 0.0001 FIRST19 117.4666667 21.0301371 21.

11、6330707 0.0001 FIRST20 119.1333333 11.5069337 40.0976860 0.0001 FIRST21 117.8666667 9.0148026 50.6384505 0.0001 FIRST22 119.9333333 10.2222912 45.4398913 0.0001 FIRST23 121.8000000 9.8430541 47.9251019 0.0001 FIRST24 128.6000000 16.0080337 31.1134814 0.0001 FIRST25 122.1333333 10.7561721 43.9766454

12、0.0001 FIRST26 122.9333333 8.2329188 57.8311001 0.0001 FIRST27 119.6000000 10.7822606 42.9602684 0.0001 FIRST28 117.4000000 11.1598771 40.7431229 0.0001 FIRST29 113.9333333 13.1500498 33.5559112 0.0001 FIRST30 113.6000000 7.6513304 57.5025367 0.0001 FIRST31 116.8000000 12.5368030 36.0829197 0.0001 F

13、IRST32 118.4666667 7.8090302 58.7549819 0.0001 FIRST33 114.2666667 12.2792896 36.0405946 0.0001 FIRST34 110.4000000 12.6253713 33.8665178 0.0001 FIRST35 116.5333333 10.9861385 41.0819198 0.0001 FIRST36 112.4666667 12.7775845 34.0895046 0.0001 FIRST37 108.7333333 15.3969694 27.3509922 0.0001 FIRST38

14、112.9333333 12.6912043 34.4639412 0.0001 FIRST39 113.0000000 8.3580586 52.3622938 0.0001 FIRST40 111.4000000 9.4248911 45.7777541 0.0001 FIRST41 112.3333333 10.5469472 41.2503373 0.0001 FIRST42 107.4000000 9.6643675 43.0404172 0.0001 FIRST43 109.8666667 9.3569429 45.4755120 0.0001 FIRST44 113.133333

15、3 10.7694453 40.6858016 0.0001 FIRST45 109.0666667 15.8856029 26.5909569 0.0001 FIRST46 120.0000000 13.6014705 34.1696878 0.0001 FIRST47 114.3333333 10.4037539 42.5626269 0.0001 FIRST48 122.8666667 27.8948707 17.0590701 0.0001 SECOND1 111.2666667 19.4402626 22.1670847 0.0001 SECOND2 117.6666667 21.2

16、019765 21.4942715 0.0001 SECOND3 121.0000000 19.8134154 23.6522062 0.0001 SECOND4 131.1333333 14.8413836 34.2203416 0.0001 SECOND5 127.5333333 17.0707212 28.9345991 0.0001 SECOND6 128.2000000 12.0071407 41.3517653 0.0001 SECOND7 127.4000000 11.6361506 42.4038926 0.0001 SECOND8 123.0000000 18.0435980

17、 26.4014390 0.0001 SECOND9 123.4666667 13.7988957 34.6538123 0.0001 SECOND10 120.6666667 12.0039676 38.9321270 0.0001 SECOND11 121.7333333 11.2850512 41.7783813 0.0001 SECOND12 125.6000000 12.0581922 40.3415951 0.0001 SECOND13 120.3333333 11.4434427 40.7262926 0.0001 SECOND14 117.1333333 16.2254943

18、27.9594224 0.0001 SECOND15 120.7333333 14.0227706 33.3456349 0.0001 SECOND16 113.6000000 12.9162135 34.0634589 0.0001 SECOND17 111.0000000 12.1655251 35.3376570 0.0001 SECOND18 115.1333333 11.2875827 39.5044265 0.0001 SECOND19 118.8666667 13.9891114 32.9090681 0.0001 SECOND20 120.3333333 8.0237742 5

19、8.0835134 0.0001 SECOND21 125.6000000 11.6300104 41.8268505 0.0001 SECOND22 124.4000000 13.7881937 34.9428749 0.0001 SECOND23 128.1333333 11.5007246 43.1501738 0.0001 SECOND24 130.6666667 16.0831174 31.4659037 0.0001 SECOND25 127.1333333 15.7383366 31.2857258 0.0001 SECOND26 123.7333333 14.7428756 3

20、2.5049978 0.0001 SECOND27 127.2666667 14.0482163 35.0864245 0.0001 SECOND28 122.6666667 11.9443152 39.7750685 0.0001 SECOND29 119.3333333 12.4422475 37.1457015 0.0001 SECOND30 124.2666667 13.3012710 36.1832137 0.0001 SECOND31 120.2666667 13.6667828 34.0819638 0.0001 SECOND32 118.3333333 10.4311804 4

21、3.9358743 0.0001 SECOND33 112.2666667 15.8766075 27.3866397 0.0001 SECOND34 114.8000000 15.4328037 28.8099621 0.0001 SECOND35 114.2000000 12.9294791 34.2082381 0.0001 SECOND36 108.6666667 15.3746854 27.3738407 0.0001 SECOND37 110.8666667 17.1542026 25.0308781 0.0001 SECOND38 109.5333333 16.2342964 2

22、6.1311463 0.0001 SECOND39 107.0000000 14.5945195 28.3948517 0.0001 SECOND40 107.8000000 17.1763958 24.3070555 0.0001 SECOND41 106.0000000 15.1986842 27.0113011 0.0001 SECOND42 110.0666667 13.6353881 31.2632367 0.0001 SECOND43 108.7333333 16.8754541 24.9547293 0.0001 SECOND44 111.6666667 20.4299034 2

23、1.1691231 0.0001 SECOND45 106.9333333 18.7443960 22.0946580 0.0001 SECOND46 112.2000000 19.4906571 22.2952325 0.0001 SECOND47 110.9333333 18.7786606 22.8793182 0.0001 SECOND48 107.8666667 20.7221988 20.1603028 0.0001 D1 5.7142857 17.7652581 1.2035231 0.2502 D2 5.3571429 14.4414315 1.3879921 0.1885 D

24、3 5.1428571 14.1576679 1.3591793 0.1972 D4 -4.0000000 20.9100638 -0.7157620 0.4868 D5 -4.2857143 13.7249272 -1.1683614 0.2636 D6 -5.5000000 11.1061314 -1.8529509 0.0867 D7 -1.4285714 12.1066688 -0.4415108 0.6661 D8 5.8571429 18.0804065 1.2121089 0.2470 D9 1.1428571 15.8544201 0.2697153 0.7916 D10 5.

25、2857143 21.3808994 0.9250000 0.3718 D11 -1.1428571 14.6961907 -0.2909720 0.7757 D12 0 17.3560010 0 1.0000 D13 1.6428571 16.5743414 0.3708750 0.7167 D14 3.1428571 15.4165602 0.7627833 0.4592 D15 -6.7857143 17.9922144 -1.4111558 0.1817 D16 2.4285714 10.7825663 0.8427384 0.4146 D17 2.3571429 16.1035454

26、 0.5476819 0.5932 D18 11.9285714 34.2355287 1.3036932 0.2150 D19 -0.5714286 22.8766400 -0.0934617 0.9270 D20 0.8571429 8.8392233 0.3628299 0.7226 D21 -9.2857143 16.2879312 -2.1331108 0.0526 D22 -5.4285714 16.1088332 -1.2609141 0.2295 D23 -5.7142857 17.3800441 -1.2301982 0.2404 D24 -0.7857143 27.9757

27、548 -0.1050865 0.9179 D25 -4.2142857 23.0923849 -0.6828404 0.5067 D26 1.5000000 13.3690227 0.4198127 0.6815 D27 -6.9285714 15.6964684 -1.6516034 0.1226 D28 -4.0000000 9.9614642 -1.5024528 0.1569 D29 -3.3571429 14.4254430 -0.8707725 0.3997 D30 -10.6428571 12.6223681 -3.1548696 0.0076 D31 -3.8571429 1

28、4.6437550 -0.9855469 0.3423 D32 0.7142857 11.2552796 0.2374541 0.8160 D33 0.8571429 22.7219214 0.1411472 0.8899 D34 -4.2142857 18.2173990 -0.8655689 0.4024 D35 2.1428571 17.1502731 0.4675049 0.6479 D36 4.4285714 18.1435061 0.9132853 0.3777 D37 -0.5714286 22.1071318 -0.0967149 0.9244 D38 4.0000000 15

29、.6155741 0.9584425 0.3553 D39 7.1428571 17.9908402 1.4855406 0.1612 D40 5.5000000 20.9752602 0.9811137 0.3444 D41 8.2142857 9.4963845 3.2364994 0.0065 D42 -0.1428571 14.4374361 -0.0370234 0.9710 D43 1.6428571 19.0812318 0.3221495 0.7525 D44 3.1428571 20.7766775 0.5659950 0.5810 D45 2.7857143 13.0040

30、146 0.8015362 0.4372 D46 9.2857143 21.6063686 1.6080426 0.1318 D47 5.2857143 14.7826747 1.3378724 0.2039 D48 16.8571429 31.7825718 1.9845359 0.0687 Variable Mean Std Dev T Prob|T| - FIRST1 117.0000000 12.6921594 31.9330917 0.0001 FIRST2 120.9166667 20.4025771 20.5301330 0.0001 FIRST3 121.2500000 14.

31、0978722 29.7933132 0.0001 FIRST4 131.3333333 11.3083504 40.2315101 0.0001 FIRST5 128.6666667 10.4039619 42.8408341 0.0001 FIRST6 123.2500000 14.0978722 30.2847493 0.0001 FIRST7 124.9166667 13.9379034 31.0465652 0.0001 FIRST8 127.7500000 10.2347447 43.2388880 0.0001 FIRST9 125.0833333 9.1796052 47.20

32、26158 0.0001 FIRST10 128.6666667 13.4051098 33.2495901 0.0001 FIRST11 125.1666667 5.0241839 86.3005928 0.0001 FIRST12 130.0833333 6.4025326 70.3818177 0.0001 FIRST13 121.5000000 11.7512088 35.8166000 0.0001 FIRST14 118.8333333 11.7923961 34.9081508 0.0001 FIRST15 119.1666667 13.7102041 30.1093579 0.

33、0001 FIRST16 122.5000000 11.1640657 38.0105652 0.0001 FIRST17 123.6666667 12.9287090 33.1350873 0.0001 FIRST18 122.6666667 12.9497865 32.8136529 0.0001 FIRST19 124.8333333 17.2037698 25.1360810 0.0001 FIRST20 126.0833333 14.3682626 30.3979327 0.0001 FIRST21 125.2500000 18.2514009 23.7723520 0.0001 F

34、IRST22 126.6666667 8.5102434 51.5597715 0.0001 FIRST23 120.9166667 9.3852722 44.6303116 0.0001 FIRST24 129.5833333 10.7657566 41.6960787 0.0001 FIRST25 127.5833333 10.3963134 42.5113799 0.0001 FIRST26 127.5000000 13.5947851 32.4884103 0.0001 FIRST27 123.7500000 17.2949020 24.7866437 0.0001 FIRST28 1

35、27.2500000 9.7152645 45.3726126 0.0001 FIRST29 122.8333333 7.8373620 54.2921395 0.0001 FIRST30 122.0833333 13.3175095 31.7558678 0.0001 FIRST31 122.0000000 15.6263181 27.0454239 0.0001 FIRST32 119.0833333 15.6231666 26.4041714 0.0001 FIRST33 121.5833333 13.1041862 32.1406468 0.0001 FIRST34 117.75000

36、00 8.6563167 47.1214237 0.0001 FIRST35 116.7500000 10.3407842 39.1105602 0.0001 FIRST36 109.5833333 14.6626200 25.8894933 0.0001 FIRST37 111.0833333 14.2602967 26.9842882 0.0001 FIRST38 105.8333333 10.2853235 35.6447147 0.0001 FIRST39 114.5833333 10.1664183 39.0430827 0.0001 FIRST40 105.8333333 9.34

37、03653 39.2508653 0.0001 FIRST41 110.4166667 9.7929319 39.0582266 0.0001 FIRST42 111.1666667 7.7791485 49.5031852 0.0001 FIRST43 108.4166667 7.2042706 52.1310720 0.0001 FIRST44 110.4166667 11.0161727 34.7211835 0.0001 FIRST45 108.7500000 11.9933694 31.4107770 0.0001 FIRST46 107.1666667 7.2592678 51.1

38、396233 0.0001 FIRST47 108.5833333 11.3654847 33.0952626 0.0001 FIRST48 118.0833333 12.4714826 32.7990407 0.0001 SECOND1 109.6666667 12.3239112 30.8259667 0.0001 SECOND2 116.1666667 13.2104183 30.4618013 0.0001 SECOND3 115.7500000 11.6238391 34.4954672 0.0001 SECOND4 132.3333333 11.1627085 41.0667460

39、 0.0001 SECOND5 127.0833333 9.2092674 47.8028882 0.0001 SECOND6 125.0833333 12.0639081 35.9171649 0.0001 SECOND7 123.1666667 11.3204026 37.6896356 0.0001 SECOND8 124.1666667 14.4022305 29.8652317 0.0001 SECOND9 123.5833333 12.6308305 33.8936719 0.0001 SECOND10 125.7500000 16.6467305 26.1679480 0.000

40、1 SECOND11 123.0000000 13.1702143 32.3521310 0.0001 SECOND12 129.0000000 11.6930438 38.2166626 0.0001 SECOND13 122.5833333 15.5823813 27.2513627 0.0001 SECOND14 121.7500000 14.7779012 28.5395312 0.0001 SECOND15 121.0000000 22.7516233 18.4231380 0.0001 SECOND16 114.9166667 18.9854410 20.9678043 0.000

41、1 SECOND17 114.5000000 21.1853294 18.7223728 0.0001 SECOND18 118.9166667 21.3773811 19.2698729 0.0001 SECOND19 122.1666667 12.6766308 33.3840870 0.0001 SECOND20 124.7500000 10.9886305 39.3267093 0.0001 SECOND21 127.7500000 10.2080628 43.3519064 0.0001 SECOND22 127.9166667 14.6750148 30.1952902 0.000

42、1 SECOND23 125.3333333 12.9568047 33.5088328 0.0001 SECOND24 132.6666667 13.5869813 33.8243503 0.0001 SECOND25 131.2500000 14.2517941 31.9021824 0.0001 SECOND26 127.1666667 13.6503968 32.2714615 0.0001 SECOND27 132.0000000 15.8113883 28.9197510 0.0001 SECOND28 128.4166667 15.6638457 28.3996914 0.000

43、1 SECOND29 126.0833333 16.8817186 25.8720980 0.0001 SECOND30 122.4166667 13.7474516 30.8467188 0.0001 SECOND31 124.2500000 13.9096108 30.9436858 0.0001 SECOND32 125.0000000 16.2144717 26.7053229 0.0001 SECOND33 122.6666667 16.3725565 25.9537842 0.0001 SECOND34 120.4166667 14.9694133 27.8658597 0.000

44、1 SECOND35 112.0000000 21.7213761 17.8616391 0.0001 SECOND36 111.8333333 11.0439892 35.0780886 0.0001 SECOND37 112.6666667 13.3439352 29.2484021 0.0001 SECOND38 108.5000000 14.2796740 26.3209807 0.0001 SECOND39 108.2500000 16.8960727 22.1938557 0.0001 SECOND40 105.8333333 15.5787345 23.5331965 0.000

45、1 SECOND41 103.4166667 17.1435561 20.8968221 0.0001 SECOND42 108.9166667 11.8049168 31.9611233 0.0001 SECOND43 107.0000000 13.5445393 27.3659269 0.0001 SECOND44 108.4166667 13.9052530 27.0089549 0.0001 SECOND45 104.5833333 14.1064675 25.6823542 0.0001 SECOND46 103.3333333 11.7962500 30.3449965 0.000

46、1 SECOND47 112.4166667 10.8498708 35.8919256 0.0001 SECOND48 110.3333333 14.4683563 26.4166759 0.0001 D1 5.9090909 18.3273268 1.0693451 0.3100 D2 8.8181818 26.2252481 1.1152078 0.2908 D3 5.4545455 18.3867541 0.9838975 0.3484 D4 -2.7272727 13.4245366 -0.6737916 0.5157 D5 0.7272727 12.4827153 0.193234

47、5 0.8506 D6 -1.9090909 10.8945357 -0.5811848 0.5740 D7 -0.2727273 17.6186884 -0.0513395 0.9601 D8 4.2727273 13.2067476 1.0730146 0.3085 D9 1.9090909 14.5702062 0.4345675 0.6731 D10 4.3636364 18.8428911 0.7680639 0.4602 D11 4.6363636 12.6354480 1.2169793 0.2516 D12 0.8181818 14.6888950 0.1847383 0.85

48、71 D13 -1.1818182 18.8722981 -0.2076932 0.8396 D14 -3.1818182 12.6634765 -0.8333333 0.4241 D15 -0.4545455 26.2844579 -0.0573554 0.9554 D16 9.0000000 26.2678511 1.1363557 0.2823 D17 10.0909091 26.8419617 1.2468448 0.2409 D18 6.4545455 19.7957755 1.0814078 0.3049 D19 2.3636364 22.2588083 0.3521884 0.7

49、320 D20 -0.7272727 19.1890120 -0.1257017 0.9025 D21 -5.7272727 19.0740185 -0.9958685 0.3428 D22 -0.2727273 15.6274816 -0.0578810 0.9550 D23 -5.8181818 14.1691085 -1.3618871 0.2031 D24 -1.4545455 12.2748820 -0.3930125 0.7026 D25 -3.0909091 18.8119884 -0.5449390 0.5977 D26 0.9090909 14.5633413 0.20703

50、45 0.8401 D27 -8.9090909 13.6708050 -2.1614025 0.0560 D28 0.7272727 15.7231734 0.1534099 0.8811 D29 -1.9090909 16.8609285 -0.3755273 0.7151 D30 -0.7272727 16.7993506 -0.1435824 0.8887 D31 -1.1818182 21.1178511 -0.1856083 0.8565 D32 -4.1818182 17.3598282 -0.7989435 0.4429 D33 -1.0000000 20.1096992 -0

51、.1649266 0.8723 D34 -1.6363636 19.4744588 -0.2786832 0.7862 D35 7.0000000 24.5030610 0.9474887 0.3657 D36 -3.3636364 15.1477571 -0.7364734 0.4784 D37 -1.1818182 18.8881877 -0.2075185 0.8398 D38 -2.6363636 10.2398509 -0.8539020 0.4131 D39 7.9090909 19.0444456 1.3773825 0.1984 D40 1.7272727 15.9504916

52、 0.3591560 0.7269 D41 10.8181818 16.3206506 2.1984326 0.0526 D42 3.6363636 13.0558242 0.9237604 0.3774 D43 1.5454545 13.6701400 0.3749554 0.7155 D44 3.1818182 18.9252117 0.5576105 0.5894 D45 1.3636364 19.1638865 0.2359996 0.8182 D46 5.0909091 8.1173215 2.0800747 0.0642 D47 -3.4545455 18.3377405 -0.6

53、248006 0.5461 D48 6.0000000 23.1343900 0.8601804 0.4098 Variable Mean Std Dev T Prob|T| - FIRST1 73.9333333 11.5168613 24.8628997 0.0001 FIRST2 79.0000000 15.7978299 19.3675769 0.0001 FIRST3 77.7333333 9.3767697 32.1069959 0.0001 FIRST4 80.4000000 10.8285337 28.7562350 0.0001 FIRST5 76.2000000 8.711

54、2407 33.8782203 0.0001 FIRST6 74.2666667 9.2154115 31.2122321 0.0001 FIRST7 79.3333333 7.7888810 39.4481159 0.0001 FIRST8 83.4000000 8.1923309 39.4279497 0.0001 FIRST9 79.8666667 7.6519528 40.4239649 0.0001 FIRST10 81.8666667 15.1933569 20.8688730 0.0001 FIRST11 75.6000000 7.5857008 38.5986143 0.000

55、1 FIRST12 79.0666667 7.6295166 40.1367346 0.0001 FIRST13 74.8000000 10.6650296 27.1634645 0.0001 FIRST14 74.1333333 13.7833578 20.8307126 0.0001 FIRST15 68.4666667 9.8840902 26.8279888 0.0001 FIRST16 69.8000000 8.9857029 30.0849293 0.0001 FIRST17 72.1333333 10.3913884 26.8848770 0.0001 FIRST18 73.13

56、33333 19.8813145 14.2467532 0.0001 FIRST19 72.3333333 13.9010106 20.1529086 0.0001 FIRST20 73.6000000 9.0538074 31.4841659 0.0001 FIRST21 76.5333333 7.4052748 40.0271877 0.0001 FIRST22 74.5333333 7.5296240 38.3374200 0.0001 FIRST23 76.8666667 6.2205497 47.8580409 0.0001 FIRST24 81.6666667 7.1780087

57、44.0642595 0.0001 FIRST25 76.4000000 8.5339658 34.6727344 0.0001 FIRST26 72.5333333 8.8387674 31.7827564 0.0001 FIRST27 74.1333333 6.8229305 42.0812090 0.0001 FIRST28 73.1333333 7.5580295 37.4759298 0.0001 FIRST29 72.8000000 10.7981480 26.1112543 0.0001 FIRST30 70.6000000 8.5088190 32.1352030 0.0001

58、 FIRST31 73.8000000 12.0546375 23.7108889 0.0001 FIRST32 71.8000000 8.4363161 32.9622791 0.0001 FIRST33 72.6000000 12.5743503 22.3612818 0.0001 FIRST34 67.5333333 11.6549601 22.4415590 0.0001 FIRST35 70.2000000 11.6753709 23.2869202 0.0001 FIRST36 69.2000000 8.7030372 30.7950478 0.0001 FIRST37 66.73

59、33333 12.4123594 20.8225592 0.0001 FIRST38 69.2000000 8.7439775 30.6508619 0.0001 FIRST39 67.7333333 7.5731355 34.6395588 0.0001 FIRST40 69.2666667 6.4638187 41.5031204 0.0001 FIRST41 70.6666667 7.3452284 37.2610362 0.0001 FIRST42 66.4000000 11.5746027 22.2181357 0.0001 FIRST43 67.2666667 7.3820890

60、35.2911865 0.0001 FIRST44 71.1333333 8.7412541 31.5170125 0.0001 FIRST45 65.6000000 9.6938861 26.2090666 0.0001 FIRST46 72.0666667 9.2849084 30.0609320 0.0001 FIRST47 71.0666667 7.4590948 36.8999220 0.0001 FIRST48 72.4000000 10.6824288 26.2490861 0.0001 SECOND1 68.1333333 11.8494525 22.2693214 0.000