首页|腕式电子血压计准确性验证研究:基于最新国际标准(ISO 81060-2:2018+AMD1:2020)

腕式电子血压计准确性验证研究:基于最新国际标准(ISO 81060-2:2018+AMD1:2020)

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目的 基于最新国际标准(ISO 81060-2:2018+AMD1:2020)验证腕式电子血压计的准确性.方法 2024-02-27至2024-06-04在上海市徐汇区枫林街道社区卫生服务中心招募了86名受试者,在该中心测量室,根据最新国际标准(ISO 81060-2:2018+AMD1:2020)选择同臂顺序法测量受试者血压.每名受试者至多测量9次,最终获取3组有效血压值,分析其是否符合最新国际标准(ISO 81060-2:2018+AMD1:2020)中受试者性别、腕围分布、血压分布及被测血压计的测量数据要求.绘制Bland-Altman散点图以评估水银血压计与腕式血压计测量的收缩压、舒张压的一致性.结果 最终纳入85名受试者,获取了255组有效血压值.85名受试者的性别、腕围分布、血压分布均符合最新国际标准(ISO 81060-2:2018+AMD1:2020)要求.255组水银血压计与腕式电子血压计测量的收缩压、舒张压差值分别为(2.9±6.52)mmHg、(2.5±4.62)mmHg,均满足最新国际标准(ISO 81060-2:2018+AMD1:2020)中标准1的要求.85名受试者水银血压计与腕式电子血压计测量的平均收缩压、舒张压差值分别为(2.9±5.89)mmHg、(2.5±4.06)mmHg,均满足最新国际标准(ISO 81060-2:2018+AMD1:2020)中标准2的要求.Bland-Altman散点图分析结果显示,255组水银血压计与腕式电子血压计测量的收缩压、舒张压差值大多数在其平均数的95%CI内,85名受试者水银血压计与腕式电子血压计测量的平均收缩压、舒张压差值大多数在其平均数的95%CI内,不同腕围受试者水银血压计与腕式电子血压计测量的收缩压、舒张压差值大多数在其平均数的95%CI内.结论 欧姆龙HEM-6160腕式电子血压计符合最新国际标准(ISO 81060-2:2018+AMD1:2020)的准确性要求,其测量的血压与水银血压计测量的血压一致性良好,可替代水银血压计用于血压检测.
Accuracy Verification of Wrist Electronic Sphygmomanometer:Based on the Latest International Standards(ISO 81060-2:2018+AMD1:2020)
Objective To verify the accuracy of the wrist electronic sphygmomanometer according to the latest international standard(ISO 81060-2:2018+AMD1:2020).Methods Eighty-six subjects were recruited from February 27,2024 to June 4,2024 in Fenglin Street Community Health Service Center,Xuhui District,Shanghai.In the measurement room of the center,according to the latest international standard(ISO 81060-2:2018+AMD1:2020),the same arm sequence method was selected to measure the blood pressure of the subjects.Each subject was measured up to 9 times to obtain 3 sets of effective blood pressure values,and they whether meet the requirements of subjects'gender,wrist circumference distribution,blood pressure distribution and the measured data of the sphygmomanometer in the latest international standard(ISO 81060-2:2018+AMD1:2020)were analyzed.The Bland-Altman scatter plot was drawn to evaluate the consistency of systolic blood pressure and diastolic blood pressure measured by mercury sphygmomanometer and them measured by wrist electronic sphygmomanometer.Results Finally,85 subjects were included and 255 groups of effective blood pressure values were obtained.The gender,wrist circumference distribution and blood pressure distribution of 85 subjects met the requirements of the latest international standard(ISO 81060-2:2018+AMD1:2020).The 255 groups of differences of systolic blood pressure and diastolic blood pressure measured by mercury sphygmomanometer and wrist electronic sphygmomanometer were(2.9±6.52)mmHg and(2.5±4.62)mmHg,respectively,which met the requirements of Standard 1 in the latest international standard(ISO 81060-2:2018+AMD1:2020).The differences between mean systolic and diastolic blood pressure measured by mercury sphygmomanometer and those measured by wrist electronic sphygmomanometer in 85 subjects were(2.9±5.89)mmHg and(2.5±4.06)mmHg,respectively,which met the requirements of Standard 2 in the latest international standard(ISO 81060-2:2018+AMD1:2020).The results of Bland-Altman scatter plot analysis showed that the 255 groups of differences of systolic blood pressure and diastolic blood pressure measured by mercury sphygmomanometer and wrist electronic sphygmomanometer were mostly within 95%CI of their average.The differences between average systolic blood pressure and diastolic blood pressure measured by mercury sphygmomanometer and wrist electronic sphygmomanometer in 85 subjects were mostly within 95%CI of their average.The differences of systolic blood pressure and diastolic blood pressure measured by mercury sphygmomanometer and wrist electronic sphygmomanometer in subjects with different wrist circumferences were mostly within 95%CI of their average.Conclusion OMRON HEM-6160 wrist electronic sphygmomanometer meets the accuracy requirements of the latest international standard(ISO 81060-2:2018+AMD1:2020).The blood pressure measured by OMRON HEM-6160 wrist electronic sphygmomanometer is in good agreement with the blood pressure measured by mercury sphygmomanometer,which can replace mercury sphygmomanometer for blood pressure detection.

Blood pressure determinationWrist electronic sphygmomanometerAccuracy

陈碧华、姜红、孙雅、陈国蓉、陈婕、王丹、陈明智、施佳、彭燕、程毅敏、杨呈、丁媛媛、苏瑾、刘明、沈福来、邱宜成、沈怡

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200030 上海市徐汇区枫林街道社区卫生服务中心

200032 上海市,复旦大学附属中山医院心内科 上海心肺疾病人工智能工程技术研究中心

200237 上海市徐汇区卫生事业管理发展中心

200032 上海市,复旦大学附属中山医院健康管理中心

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血压测定 腕式电子血压计 准确性

2025

实用心脑肺血管病杂志
河北省心脑肺血管病防治研究办公室

实用心脑肺血管病杂志

影响因子:1.864
ISSN:1008-5971
年,卷(期):2025.33(2)