摘要
目的 分析依据健康体检自测问卷完成高血压阶梯式筛查的价值。方法 本次研究的时间范围为2025年3月份至2025年7月份,对该期间在我院完成体检且诊断高血压的200例患者进行研究,平均年龄为53.43±2.64岁,对所有患者提供问卷,常规检查、高血压专项检查,依据结果分的单项检查的灵敏度、特异度、阳性预测值和符合率。结果 研究的对象当中,高血压合并危险因素较高,依据指南进行分层,低然、中危、高危;很高危;常规检查联合健康体检自测问卷,提升了诊断的灵敏度、特异度。结论 进行常规体检的过程,添加问卷,可以提高高血压患者危险分层的检出率,提升了不同分层的灵敏度、特异度,为慢性病筛查提供了依据。
关键词: 健康体检;自测问卷;高血压阶梯式筛查
Abstract
Objective To analyze the value of stepwise screening for hypertension based on the self-test questionnaire of health examination. Methods The time range of this research is from March 2025 to July 2025, and 200 patients who completed physical examination and were diagnosed with hypertension in our hospital during this period, with an average age of 53.43±2.64 years, were provided to all patients. Results Among the subjects of the study, hypertension was associated with high risk factors, which were stratified according to the guidelines, including low, intermediate, and high-risk. Very high-risk; Routine examination combined with the self-test questionnaire of health examination improved the sensitivity and specificity of diagnosis. Conclusion In the process of routine physical examination, the addition of questionnaires can improve the detection rate of risk stratification in hypertensive patients, improve the sensitivity and specificity of different stratification, and provide a basis for chronic disease screening.
Key words: Health examination; Self-test questionnaire; Tiered screening for hypertension
参考文献 References
[1] 李立战.简化血压测量方法在高血压筛查中的应用价值分析[J].中国科技期刊数据库 医药,2024(6):0140-0143.
[2] 鄢甜慧.中老年高血压患者中脑卒中高危人群筛查结果及相关危险因素分析[J].当代医药论丛,2024,22(34):53-55.
[3] 崔达.高血压对心脏功能影响的基层筛查与干预[J].中文科技期刊数据库(引文版)医药卫生,2024(12):119-122.
[4] 莫才云,周小艳,何绍前,林先燕.黔南州农村老年高血压患者合并肌少症的影响因素研究[J].当代护士(下旬刊), 2024,31(5):139-142.
[5] 王慧,李晓霞,陈智敏.山东省滨州市彭李街道农村居民高血压认知、患病及治疗情况调查[J].中国农村卫生,2024,16(10):44-46.
[6] 王禹捷,吴璨,武楷文,孙晓滨.基于孟德尔随机化探索肠道微生物和血液代谢物与高血压及其并发症之间的因果关系[J].心血管病学进展,2024,45(11):1039-1045.
[7] 余津,苏海.基层医疗机构筛查继发性高血压的必要性[J].中华高血压杂志(中英文),2024,32(8):701-703.
[8] 任亚女,查晓宇,董作亮.醛固酮与直接肾素浓度比值筛查天津市高血压人群中原发性醛固酮增多症的最佳切点[J].中国慢性病预防与控制,2024,32(11):827-831,836.
[9] Khobragade W A ,Ruikar M M ,Singh G , et al.The Burden of Hypertension and Diabetes Mellitus and Their Predictors in an Urban Slum of Chhattisgarh, India: A Retrospective Record-Based Study.[J].Cureus,2025,17(3):e80953.