[对计算机编程与人工右臂血压测量的比较分析,以检测老年人高血压]
1Clinical Trial Center, the Second Affiliated Hospital of Nanchang University, Nanchang330006, China.
Zhonghua xin xue guan bing za zhi
|January 14, 2025
概括
手动血压测量可能会高估老年人的高血压率. 使用计算机控制的血压计 (CCBPM) 进行标准化双臂同步测量,可以更准确地检测高血压.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 医疗器械 医疗器械
背景情况:
- 准确的高血压检测对于管理老年人心血管风险至关重要.
- 传统的手动血压测量方法可能会带来变化和潜在的高估.
- 技术的进步,如计算机控制的血压计 (CCBPM),提供了标准化的测量协议.
研究的目的:
- 为了比较手动右臂测量和老年人中CCBPM之间的高血压检测率.
- 评估不同血压测量技术的一致性和可靠性.
- 确定CCBPM是否提供了对老年人高血压患病率的更准确评估.
主要方法:
- 这是一项涉及1498名老年居民进行例行健康检查的横截面研究.
- 在右臂手动测量血压,并使用CCBPM (单个和同步双臂测量的平均值).
- 在不同方法中比较了高血压检测率;使用类内相关系数 (ICC) 和卡帕值来评估一致性.
主要成果:
- 与CCBPM相比,手动右臂测量产生了较高的血压读数和心率.
- 通过CCBPM平均方法,高血压检测率 (40.25%) 比手动测量 (54.34%) 低得多.
- 在手册和CCBPM平均数据 (ICC:0.62-0.70) 之间观察到中等一致性,较低的分类协议 (Kappa:0.37).
结论:
- 手动右臂血压测量可能导致老年人群中高血压患病率的高估.
- 使用CCBPM进行标准化双臂同步血压测量,可提供更可靠且潜在较低的高血压估计.
- CCBPM技术可以帮助减少不规则的血压测量,并提高老年高血压查的诊断准确性.
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