摘要
目的分析诊室血压标准化测量记录值尾数分布状态以及用于社区高血压筛查的效果。方法收集分析2023年6月至2024年5月上海市静安区社区卫生服务中心的首诊测压数据,将数据按不同测压方式分为标准化测压和常规测量血压两组,用SPSS 19.0软件进行检验,分析不同组别血压末位数值分布均衡性和血压升高检出率的差异。结果标准化测压组血压记录值末位数值分布频率范围为9.42%~10.83%,血压升高检出率为24.89%;常规测压组存在末位“0”偏好,血压升高检出率仅为2.12%。多因素logistic回归分析结果显示,性别、年龄、季节、不同血压测量模式均为血压升高检出率的影响因素。结论诊室血压标准化测量模式适用于社区高血压筛查测压,数据质量高于常规测压模式。
Objective To analyze the distribution status of the end digits of standardized blood pressure measurement recordings in the clinic and the effectiveness of standardized blood pressure measurement for community hypertension screening.Methods The first visit blood pressure measurement data from the Community Health Service Center in Jing′an District,Shanghai from June 2023 to May 2024 were collected and analyzed.According to different measurement methods,the data were divided into two groups:standardized blood pressure measurement and conventional blood pressure measurement.SPSS 19.0 software was used for data analysis.The differences in the distribution balance of the end digits of blood pressure values and the detection rate of blood pressure elevation between the two different groups were analyzed.Results The frequency range of the end digits of blood pressure recorded values in the standardized pressure measurement group was 9.42%to 10.83%,and the detection rate of elevated blood pressure was 24.89%.The conventional pressure measurement group had a preference of the end digit"0",and the detection rate of elevated blood pressure was only 2.12%.The results of multiple logistic regression analysis showed that gender,age,season,and different blood pressure measurement modes were all influencing factors for the detection rate of elevated blood pressure.Conclusion The standardized blood pressure measurement mode in the clinic is suitable for community hypertension screening and pressure measurement,with higher data quality than the conventional pressure measurement mode.
作者
严一鸣
张欣
陈洁华
施海娟
朱斌
王妍敏
陈传影
YAN Yiming;ZHANG Xin;CHEN Jiehua;SHI Haijuan;ZHU Bin;WANG Yanming;CHEN Chuanying(Jing′an District Center for Disease Control and Prevention(Jing′an District Health Supervision Institute),Shanghai 200072,China)
出处
《公共卫生与预防医学》
2026年第2期175-179,共5页
Journal of Public Health and Preventive Medicine
关键词
高血压
血压测量
尾数偏好
筛查
首诊测压
Hypertension
Blood pressure measurement
End-digit preference
Screening
First diagnosis manometry
