中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2013年
1期
30-33
,共4页
顾杰%黄俏雯%杨清建%祝墡珠
顧傑%黃俏雯%楊清建%祝墡珠
고걸%황초문%양청건%축선주
血压%横断面研究%回归分析
血壓%橫斷麵研究%迴歸分析
혈압%횡단면연구%회귀분석
Blood pressure%Cross-sectional studies%Regression analysis
目的 了解住院患者血压值尾数偏好情况并探讨其相关因素.方法 以系统抽样的方法调查上海市某三级医院2010年1月1日至12月31日期间住院患者入院血压值尾数及其相关情况.结果 2276例患者入院时收缩压平均(125±14)mm Hg(1 mm Hg=0.133 kPa),舒张压平均(77±9)mm Hg.收缩压尾数0偏好1874例,占82.3％(P＜0.01),舒张压尾数0偏好1859例,占81.7％ (P＜0.01).Logistic回归分析显示,非冬季入院(OR分别为1.270、1.270)、住院科室为外科(OR分别为2.169、2.039)及其他科室(OR分别为1.619、2.045)、无高血压史(OR分别为1.432、1.310)为收缩压和舒张压尾数0偏好共同的相关因素,而年龄＜65岁(OR=1.288)、心率60 ～ 100次/min(OR=1.823)仅与舒张压尾数0偏好相关.结论 住院患者血压值尾数0偏好现象严重,医生测量非冬季入院、住院科室为外科系统及其他科室、无高血压史、年龄＜ 65岁、心率正常的患者时,更易出现血压值尾数0偏好.
目的 瞭解住院患者血壓值尾數偏好情況併探討其相關因素.方法 以繫統抽樣的方法調查上海市某三級醫院2010年1月1日至12月31日期間住院患者入院血壓值尾數及其相關情況.結果 2276例患者入院時收縮壓平均(125±14)mm Hg(1 mm Hg=0.133 kPa),舒張壓平均(77±9)mm Hg.收縮壓尾數0偏好1874例,佔82.3％(P＜0.01),舒張壓尾數0偏好1859例,佔81.7％ (P＜0.01).Logistic迴歸分析顯示,非鼕季入院(OR分彆為1.270、1.270)、住院科室為外科(OR分彆為2.169、2.039)及其他科室(OR分彆為1.619、2.045)、無高血壓史(OR分彆為1.432、1.310)為收縮壓和舒張壓尾數0偏好共同的相關因素,而年齡＜65歲(OR=1.288)、心率60 ～ 100次/min(OR=1.823)僅與舒張壓尾數0偏好相關.結論 住院患者血壓值尾數0偏好現象嚴重,醫生測量非鼕季入院、住院科室為外科繫統及其他科室、無高血壓史、年齡＜ 65歲、心率正常的患者時,更易齣現血壓值尾數0偏好.
목적 료해주원환자혈압치미수편호정황병탐토기상관인소.방법 이계통추양적방법조사상해시모삼급의원2010년1월1일지12월31일기간주원환자입원혈압치미수급기상관정황.결과 2276례환자입원시수축압평균(125±14)mm Hg(1 mm Hg=0.133 kPa),서장압평균(77±9)mm Hg.수축압미수0편호1874례,점82.3％(P＜0.01),서장압미수0편호1859례,점81.7％ (P＜0.01).Logistic회귀분석현시,비동계입원(OR분별위1.270、1.270)、주원과실위외과(OR분별위2.169、2.039)급기타과실(OR분별위1.619、2.045)、무고혈압사(OR분별위1.432、1.310)위수축압화서장압미수0편호공동적상관인소,이년령＜65세(OR=1.288)、심솔60 ～ 100차/min(OR=1.823)부여서장압미수0편호상관.결론 주원환자혈압치미수0편호현상엄중,의생측량비동계입원、주원과실위외과계통급기타과실、무고혈압사、년령＜ 65세、심솔정상적환자시,경역출현혈압치미수0편호.
Objective To investigate the end-digit preference and related factors in blood pressure measurement among inpatients.Methods A cross-sectional study was conducted on the end digits of blood pressure measurement during the admission of patients in a tertiary general hospital of shanghai in 2010,and the related factors were analyzed with the logistic regression.Results The average blood pressure in records of 2276 patients was (125 ± 14) mm Hg(1 mm Hg =0.133 kPa) in systolic and (77 ±9) mm Hg in diastolic.End-digital zero preference accounted for 1874 records (82.3％) of systolic and 1859 records (81.7％) of diastolic readings,which were significant different to the expected frequency of 20％ (P ＜ 0.001).Logistic analysis showed that admission of patients not in winter (OR =1.270,OR =1.270),patients in surgical department (OR =1.619,OR =2.045),patients with no history of hypertension (OR =1.432,OR =1.310)were the risk factors of end-digital zero preference in systolic and diastolic pressure measurement.Non-elderly patients (OR =1.288) and patients with normal heart rate(OR =1.823) were related to zero preference diastolic pressure measurement.Conclusions Blood pressure measurement of inpatient displays marked zero end-digit preference.Doctors tend to end in zero when taking blood pressure in some special types of patients.
