摘要
目的评价诊室血压标准化测量模式(简称"标准化测压")用于社区35岁及以上人群首诊测量血压(测压)的效果。方法上海市黄浦区打浦桥街道社区卫生服务中心于2018年6月1日实施标准化测压,获取该中心2017年6月1日至12月31日和2018年6月1日至12月31日的首诊测压数据分别作为常规和标准化测压资料。以常规测压对象的性别和年龄分布为标准,对标准化测压对象血压升高检出率进行标准化。采用χ^2检验分析不同测压模式血压末位数值分布的均衡性,以及不同特征和不同季节对象血压升高检出率的差异,采用U检验比较两种测压模式血压升高标化检出率的差异。结果1548名对象标准化测压,其中男性639名(41.28%);2952名对象常规测压,其中男性1196名(40.51%)。标准化测压血压末位数值频率范围为9.04%~10.72%,收缩压和舒张压末位数值均显示分布均衡(P值分别为0.996和0.981),常规测压血压末位数值频率范围为0.37%~67.92%,收缩压和舒张压末位数值均显示分布不均衡(P值均<0.001)。标准化测压血压升高检出率和标化检出率分别为23.19%(359/1548)和23.05%,均高于常规测压[7.22%(213/2952),P值均<0.001]。夏、秋、冬季标准化测压血压升高检出率分别为18.85%(141/748)、26.72%(152/591)和31.58%(66/209),均高于常规测压[分别为6.28%(91/1450)、7.20%(82/1139)和11.02%(40/363)],P值均<0.001。结论标准化测压用于社区35岁及以上人群首诊测量血压,数据质量和高血压筛查效率均优于常规测压。
Objective To evaluate the effect of clinic standardized blood pressure measurement model(SBPM)applying to first blood pressure measurement among community population aged 35 years old and above.Methods SBPM was implemented in the community health service center of Dapuqiao street,Huangpu district of Shanghai from June 1,2018,and the data between June 1 and December 31,2018 was used as the SBPM data.The first-diagnosis blood pressure measurement data in this center between June 1 and December 31,2017 was used as the conventional measurement(CM)model data.The detection rate of elevated blood pressure under SBPM was standardized according to the gender and age distribution of subjects in CM.The equilibrium of the value distribution of the end digit of blood pressure value in different pressure-measuring models and difference of elevated blood pressure rate of subjects with different characteristics and seasons were analyzed by using theχ^2 test,and the difference of standardized elevated blood pressure rate in different pressure-measuring models was analyzed by using the U test.Results The SBPM included 1548 subjects and 639(41.28%)of them were males.The CM included 2952 inpatients and 1196(40.51%)of them were males.The frequency of the end digit of blood pressure in SBPM ranged from 9.04%to 10.72%,and both systolic and diastolic blood pressure showed a balanced distribution of end digit(P values were 0.996 and 0.981 respectively).The frequency of blood pressure end digital in the CM ranged from 0.37%to 67.92%,and both systolic and diastolic blood pressure showed an unbalanced distribution(both P values<0.001).The crude rate and standardized elevated blood pressure rate in SBPM were 23.19%(359/1548)and 23.05%,which were higher than that in CM,about 7.22%(213/2952)(both P values<0.001).The elevated blood pressure rate in SBPM in summer,autumn and winter was 18.85%(141/748),26.72%(152/591)and 31.58%(66/209),respectively,which was higher than that in CM,about 6.28%(91/1450),7.20%(82/1139)and 11.02%(40/363),respectively(all P values<0.001).Conclusion The quality of blood pressure data and the efficiency of hypertension screening of SBPM are better than those of CM when applying to first blood pressure measurement among community population aged 35 years old and above.
作者
严青华
俞捷
王玉恒
高嘉宝
周峰
王彦
朱鼎良
施燕
程旻娜
王烨菁
Yan Qinghua;Yu Jie;Wang Yuheng;Gao Jiabao;Zhou Feng;Wang Yan;Zhu Dingliang;Shi Yan;Cheng Minna;Wang Yejing(Division of Chronic Non-communicable Disease and Injury,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China;Department of Cardiovascular&Cerebrovascular Disedne and Diabetes Prevention,Huangpu District Center for Dismsc Control and Prevvntioiu Shtinghai 200023.China;Department of Prevention and Health Protection Dapu Community Health Service Center of Huangpu District,Shanghai 200023,China;Shanghai Institute of Hypertension,Shanghai 200025,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2020年第4期416-419,共4页
Chinese Journal of Preventive Medicine
基金
上海市科学技术委员会项目(16511102603)。
关键词
血压测定
质量控制
高血压
筛查
Blood pressure determination
Quality control
Hypertension
Screening
