诊室血压自动传输系统对血压末位偏好的影响

The Influence of Automatic Blood Pressure Transmission System in Consulting Room on Blood Pressure End Preference

目的:了解诊室血压自动传输系统对高血压患者血压末位偏好的影响。方法:从上海市闵行区莘庄社区卫生服务中心20375例高血压患者的慢性病管理平台中,获得随访日期为2020年10月1日—2021年4月30日共47846条随访数据。按照不同的血压采集方式分为手工录入的常规测量血压组、自动采集和标准化测量的诊室血压自动传输组,对收缩压和舒张压末位血压数字进行分析。结果:常规测量血压组的收缩压和舒张压中末位读数为0的记录占比分别为20.8%、25.4%,诊室血压自动传输组的收缩压和舒张压中末位读数为0的记录占比分别为9.7%、10.1%。常规测量血压组和诊室血压自动传输组在不同水平血压记录的末位读数分布不同,当收缩压处于136~145 mmHg(1 mmHg=0.133 kPa),舒张压处于86~95mmHg,常规测量血压组的以0结尾和以1~5结尾的血压读数记录占比达到最低,以6~9结尾的血压读数记录占比达到最高。诊室血压自动传输组的血压记录中,0末位的记录比例基本在10.0%左右,与预期频率分布相符。结论:在社区卫生服务中心的高血压患者管理中使用电子血压自动传输系统可以消除血压末位偏好,规避高血压治疗目标血压值对血压末位偏好的影响。因此,诊室电子血压自动传输系统在社区卫生服务中心高血压管理中是值得推广的血压测量方式。

OBJECTIVE To investigate the effect of the automatic blood pressure transmission system in the office on the preference of the last reading of blood pressure in hypertensive patients.METHODS A total of 47846 follow-up data were obtained from the chronic disease management files of 20375 hypertensive patients in Xinzhuang Community,Minhang District,Shanghai,from October 1st,2020 to April 30th,2021.RESULTS 20.8% of the systolic and 25.4% of the diastolic blood pressure were recorded with 0 reading in the routine blood pressure measurement group,while 9.7% of the systolic and 10.1%of the diastolic blood pressure were recorded with 0 reading in the automatic blood pressure transmission group.The distribution of the last reading of blood pressure recorded at different levels was different between the routine blood pressure measurement group and the automatic blood pressure transmission group.In the routine blood pressure measurement group,the proportion of blood pressure readings ending in 0 and 1~5 reached the lowest point,and the proportion of blood pressure reading records ending in 6~9 reached the highest point,when systolic blood pressure was in 136~145 mmHg(1 mmHg=0.133 kPa)and diastolic blood pressure was in 86~95 mmHg.In the automatic blood pressure transmission group,the proportion of blood pressure reading records ending in 0 were around 10%,which was consistent with the expected frequency distribution.CONCLUSION The use of electronic automatic blood pressure transmission system in the management of hypertensive patients of the community can eliminate the preference of the last reading of blood pressure,and avoid the influence of the target blood pressure value on the preference of the last reading of blood pressure in the treatment of hypertension.Therefore,the electronic blood pressure automatic transmission system in the clinic is a blood pressure measurement method worth promoting in the management of hypertension in the community.