噪音和公共设置对血压读数的影响:一个随机交叉试验
Junichi Ishigami1, Hairong Liu1, Di Zhao1
1Department of Epidemiology and Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (J.I., H.L., D.Z., J.C., K.M.).
Annals of internal medicine
|January 27, 2025
概括
在杂的公共空间测量血压 (BP) 与安静的环境相比显示出极小的差异. 这表明公共区域适合进行高血压查,挑战了强调安静环境的传统准则.
科学领域:
- 心血管健康 心血管健康
- 公共卫生干预措施 公共卫生干预措施
- 临床测量标准 临床测量标准
背景情况:
- 目前的指导方针建议安静的环境,以准确测量血压 (BP).
- 噪音和公共环境对BP读数的影响仍然是关键考虑因素.
研究的目的:
- 为了评估杂的公共环境对血压测量的影响,与受控办公室环境相比.
- 确定公共空间是否适合进行高血压查.
主要方法:
- 一个随机交叉试验涉及108名成年人在马里兰州巴尔的摩.
- 血压测量是在一个私人安静的办公室,一个杂的公共市场和一个带耳塞的杂的公共市场进行的.
- 数据分析了系统血压 (SBP) 和透气血压 (DBP) 在不同设置中的差异.
主要成果:
- 与私人安静办公室相比,在杂的公共场合 (带有或没有耳塞) 中,平均SBP和DBP显示出最小的,非临床显著的差异.
- 在公共大声设置中,平均噪音水平为74dB,在私人安静办公室中为37dB.
- 调查结果在各个人口分组中是一致的.
结论:
- 在公共场所的血压读数与私人办公室的血压读数差异很小.
- 公共空间可以被认为是高血压查的适当和有效场所.
- 这挑战了所有BP测量的严格遵守安静环境的要求.
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