农民健康体检血压测量质量控制的研究.docVIP

农民健康体检血压测量质量控制的研究 　　中图分类号：R544 文献标 识码：A 文章编号：1009_816X(2010)06_0432_02 　　DOI:10.3969/j.issn.1009_816X.2010.06.09 A Study on Quality Control of Blood Pressure Measurement in Farmers Routine Phys ical Examination.ZENG Chun_lai, WEI Tie_min, WANG Shu_ying, et al. Department o f Cardiology, Central Hospital of Lishui, Zhejiang 323000, China 　　［Abstract］ ObjectiveTo explore the defects and the accuracy of blood pressuremeasurement during farmers routine physical examination.MethodsThe farmers r outine physical examination of Lishui City was investigated by using a random st ratified cluster sampling, the sphygmomanometry and the environmental factors ofblood pressure measurement was evaluated. The accuracy of blood pressure readin gs was assessed by using dual_head stethoscope. The data of all respondents (n =2081) were rechecked with mercury sphygmomanometer.Results There were many err ors in blood pressure measurement, such as unsuitable environment, inadequate re st before measurement, incorrect cuff and stethoscope placement, deflated too qu ickly and so on. The readings of rural community physician were slightly higherthan those of the on_site review of the measurement［SBP（125.28 ± 23.41）mmHgVS（124.62±22.39）mmHg,P0. 05).The readings of 514 cases measured by electrosphygmomanometer were signific antly higher than those measured by mercury sphygmomanometer［SBP（133.21±21.62 ）mmHg VS（126.78±21.09）mmHg,P0.001; DBP（82.84±12.41）mmHg VS（80.15± 11.59）mmHg,P0.001］.ConclusionsA variety of issues in methods of current fa rmers healthy blood pressure measurement will surely affect the accuracy of meas urement, attention should be paid to the training of related team. 　　［Key words］ Routine physical examination; Blood pressure measu rement; Quality control 　　 　　准确测量血压对于诊断、治疗高血压非常重要，但是农民健康体检多由乡镇卫生院承担，为 了明确在农民健康体检中血压测量的方法是否存在缺陷、血压测量的准确度如何，我们于20 08年8月到11月对浙江省丽水市辖区农民体检点进行了抽样调查。 　　 　　1 资料与方法 　　 　　1.1 一般资料：对丽水市辖四个区县市（莲都区、缙云县、青田县、龙泉市）14个乡镇 及社区卫生院进行随机分群抽样21个体检点，在这些体检点参加农民体检的所有对