高血压数字化管理初探:FAIR研究中家庭血压监测的设计与实践  

Exploring Digital Management of Hypertension:Design and Practice of Home Blood Pressure Monitoring in the FAIR Study

作　　者：张硕 刘旭 李昱熙[1] 范芳芳[1] 王贝宁 贾佳[1] 李建平[1] ZHANG Shuo;LIU Xu;LI Yuxi;FAN Fangfang;WANG Beining;JIA Jia;LI Jianping(Department of Cardiology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院心内科,北京100034

出　　处：《心血管病学进展》2024年第3期277-282,共6页Advances in Cardiovascular Diseases

基　　金：中央高水平医院临床科研业务费资助(北京大学第一医院高质量临床研究专项)(2022CR77);中央高水平医院临床科研业务费资助(北京大学第一医院科技成果转化孵育引导基金项目)(2022CX07)。

摘　　要：目的探索数字化家庭血压监测(HBPM)管理在高血压患者中的应用,并对血压变异率等指标进行分析。方法纳入2023年2月1日—2024年1月15日参与FAIR-pilot研究并接受数字化家庭自测血压管理的受试者,利用蓝牙血压计与配套微信小程序实现HBPM数据的自动上传,并对HBPM数据、不同时段血压变异率及小程序使用情况进行分析。结果最终纳入86例符合条件的受试者,其中男性53例(61.6%),平均年龄(61.70±9.81)岁,共计分析HBPM血压读数23277人次。总体受试者晨间收缩压的变异率为(17.31±67.34)mm Hg,晚间收缩压的变异率为(13.75±36.10)mm Hg;晨间舒张压的变异率为(5.87±1.81)mm Hg,晚间舒张压的变异率为(6.22±3.66)mm Hg。整体受试者在小程序使用行为上的活跃度随着时间的推移呈下降趋势,但整体活跃度在80%以上。结论基于新型信息技术的数字化HBPM管理在高血压领域具备可行性,与收缩压相比,HBPM中舒张压的变异率可能是作为血压变异率更稳定的指标,但规范的HBPM流程仍有待进一步研究与推广。Objective To explore the application of digital home blood pressure monitoring(HBPM)management in hypertensive patients and analyze indicators such as blood pressure variability.Methods Subjects participating in the FAIR-pilot study and undergoing HBPM from February 1,2023 to January 15,2024 were included.HBPM data were automatically uploaded using Bluetooth blood pressure monitors and integrated with WeChat mini program.HBPM data,blood pressure variability at different time periods,and usage of the mini program were analyzed.Results A total of 86 eligible subjects were included,with 53 males(61.6%)and a mean age of(61.70±9.81)years.A total of 23277 HBPM blood pressure readings were analyzed.The overall variability of morning systolic blood pressure was(17.31±67.34)mm Hg,and the variability of evening systolic blood pressure was(13.75±36.10)mm Hg.The variability of morning diastolic blood pressure was(5.87±1.81)mm Hg,and the variability of evening diastolic blood pressure was(6.22±3.66)mm Hg.Overall subject activity on the mini program showed a decreasing trend over time but remained above 80%overall activity.Conclusion Digital HBPM management based on novel information technology is feasible in the field of hypertension.Compared to systolic blood pressure,diastolic blood pressure variability in HBPM may serve as a more stable indicator of variability.However,standardized HBPM processes still require further research and promotion.

关 键 词：家庭血压监测 血压变异率 数字化管理 信息技术 

分 类 号：R544.1[医药卫生—心血管疾病]