血压的性别差异来自自动示波器与手动设备相比
Tan V Bui1, James E Sharman1, Niamh Chapman1,2
1Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia (T.V.B., J.E.S., N.C., M.G.S., S.L.G., D.S.P.).
Hypertension (Dallas, Tex. : 1979)
|July 1, 2025
概括
自动化血压装置低估了女性的读数,而不是男性的读数,特别是带有较大的袖子. 这种与脂肪相关的不准确性可能会影响公平的医疗保健.
科学领域:
- 心血管健康 心血管健康
- 医疗设备的准确性 医疗设备的准确性
- 公共卫生 公共卫生
背景情况:
- 自动化血压 (BP) 设备可能会在性别之间表现出差异性的精度.
- 之前的研究表明了潜在的差异,需要集中调查.
- 袖口大小和身体组成是影响血压测量准确性的关键因素.
研究的目的:
- 为了调查自动化BP设备准确度的性别差异,与手动BP相比.
- 检查不同袖口尺寸对自动化血压测量的影响.
- 评估脂肪度测量与自动化血压精度之间的关联.
主要方法:
- 利用美国国家健康和营养检查调查 (2017-2018) 的数据.
- 在一个随机子样本中比较自动 (Omron HEM-907XL) 和手动血压测量.
- 采用人体测量和双能X射线吸收测量来分析身体尺寸和组成.
主要成果:
- 与男性相比,女性更大袖口更低估了缩血压 (SBP).
- 自动SBP低估与超大袖子与增加的肥胖相关性在两性.
- 对于高血压分类的自动和手动BP之间的一致性在标准袖口上是温和的,但在超大袖口上是弱的.
结论:
- 自动化血压装置,特别是带有较大的袖口的装置,可以低估SBP,其准确性与脂肪相关.
- 自动化血压准确度的差异可能会导致女性和男性的医疗保健不平等.
- 进一步的研究对于解决自动化BP设备准确性对患者护理的影响至关重要.
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