基于精准测压的社区居民血压特征分析

doi:10.12114/j.issn.1007-9572.2019.00.592

摘要/Abstract

摘要： 背景　上海市黄浦区打浦桥街道于2018年4月引入精准测压，即社区居民在志愿者指导下采用经过国际认证的自动血压测量仪进行血压测量。分析精准测压结果对判断该技术是否值得在社区推广应用有重要意义。目的　分析精准测压的血压值数据特征，为精准测压技术的应用和推广提供依据。方法　本文使用的数据来源于上海市黄浦区疾病预防控制中心健康管理信息系统和测压数据存储系统。于2018年9月，从中调取2018-05-01至2018-08-14在上海市黄浦区打浦桥街道社区卫生服务中心接受过精准测压的社区居民人口学信息和精准测压结果。共获得4 686例社区居民的相关数据。结果　精准测压的收缩压和舒张压末尾值有0~9，数据各末尾值占比为9.65%~10.32%。无高血压史的945例社区居民中，血压异常148例（15.66%）。男性血压异常率高于女性，差异有统计学意义（P<0.05）；随着年龄增长，血压异常率增高（P<0.05）。有高血压史的3 741例社区居民中，血压得到控制2 714例（72.55%）.男性血压控制率低于女性，差异有统计学意义（P<0.05）；各年龄段高血压患者血压控制率差异有统计学意义（P<0.05）。共有1 131例社区居民参与双臂测量，右上臂收缩压与舒张压均高于左上臂（P<0.05）；左右臂收缩压差异率为35.63%（403/1 131），舒张压差异率为6.90%（78/1 131）。首测臂为右上臂的收缩压差异率高于首测臂为左上臂者，差异有统计学意义（P<0.05）。结论　精准测压血压值数据末尾值分布均匀；精准测压在无高血压史人群和有高血压史人群中的应用均能反映血压分布的一般规律，且能识别左右臂间差异，对高血压筛查、高血压管理及高血压并发症预防等工作有重要的指导意义。

关键词: 血压测定；精准测压；诊断技术, 心血管；社区卫生服务；上海

Abstract: Background　Accurate manometry was introduced in Dapuqiao Community Health Service Center of Huangpu District in Shanghai in April 2018，that is，community residents were guided by volunteers to use internationally certified automatic blood pressure meter for blood pressure measurement.The analysis of accurate pressure measurement results is of great significance for judging whether the technique is worth popularizing and applying in the community.Objective　To analyze the data characteristics of blood pressure by accurate pressure measurement in order to provide the basis for the application and promotion of accurate pressure measurement technology.Methods　The data used in this paper were from the health management information system and manometric data storage system of the Center for Disease Control and Prevention in Huangpu District of Shanghai.In September 2018，demographic information and accurate manometric results of community residents who received accurate manometry at Dapuqiao Community Health Service Center of Huangpu District in Shanghai were collected from May 1，2018 to August 14，2018.Relevant data of 4 686 community residents were obtained.Results　The number at the end of values of systolic and diastolic blood pressures measured accurately ranged from 0 to 9，and the proportion of each number at the end of values of data was concentrated at 9.65% to 10.32%.Among 945 community residents without history of hypertension，the abnormal blood pressure rate was 15.66%（148/945）．The abnormal blood pressure rate of male was higher than that of female（P<0.05），and the abnormal rate of blood pressure increased with age（P<0.05）.Among 3 741 community residents with history of hypertension，the control rate was 72.55%（2 714/3 714）.The control rate of male was lower than that of female（P<0.05），and the difference of the control rate of blood pressure among all age groups was with statistical significance（P<0.05）.A total of 1 131 community residents participated in double arm measurements.The systolic and diastolic pressure of right upper arm were higher than those of the left upper arm（P<0.05）；the difference rate of systolic blood pressure between the left and right arms was 35.63%（403/1 131），and the difference of diastolic blood pressure was 6.90%（78/1 131）.The difference rate of systolic blood pressure obtained from the right upper arm first was higher than that from the left upper arm first（P<0.05）.Conclusion　The number at the end of values of blood pressure by accurate pressure measurement is evenly distributed.The application of accurate pressure measurement in the community residents with or without history of hypertension reflects the general rule of blood pressure distribution，and it can recognize the difference between left and right arms，which has important guiding significance in the screening and management of hypertension and the prevention of hypertension complications.

Key words: Blood pressure determination；Diagnostic techniques, cardiovascular；Community health services；Shanghai

周峰,蔡惠勇,高嘉宝,等. 基于精准测压的社区居民血压特征分析[J]. 中国全科医学, 2020, 23(16): 2040-2043. DOI: 10.12114/j.issn.1007-9572.2019.00.592.
ZHOU Feng,CAI Huiyong,GAO Jiabao, et al. Blood Pressure Characteristics of Residents Based on Accurate Pressure Measurement　[J]. Chinese General Practice, 2020, 23(16): 2040-2043. DOI: 10.12114/j.issn.1007-9572.2019.00.592.

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