许 麾，孙建威，杨晓斌，高 原，左 晋

电子血压计在招飞体检中的应用价值

许 麾，孙建威，杨晓斌，高 原，左 晋

目的 探讨电子血压计在招飞体检血压判定中的应用价值。方法 参加2015年度海军招飞全面检测的学生中随机选取900名，在平静状态和运动负荷试验中使用臂筒式电子血压计和水银血压计同时测量血压，对测量的血压值进行数据分析，选取组内相关系数（interclass correlation coefficient，ICC）和Bland-Altman图示法进行一致性分析。结果 平静状态下2种血压计测量的收缩压ICC为0.973和舒张压ICC为0.965，运动负荷后2种血压计测量的收缩压ICC为0.987和舒张压ICC为0.953，均具有一致性。平静状态下2种血压计测量的收缩压差值（0.57±3.21）mmHg、舒张压差值（0.71±3.62）mmHg，运动负荷后2种血压计测量的收缩压差值（0.61±3.59）mmHg、舒张压差值（0.81±3.65）mmHg，Bland-Altman散点图提示绝大多数散点分布在（（¯x±1.96s）范围内。结论 臂筒式电子血压计测量结果比较稳定，与水银血压计测量结果一致性好，可替代水银血压计用于招飞体检的血压判定。

电子血压计；水银血压计；招飞体检

［Abstract］Objective To evaluate the value of adopting electronic sphygmomanometers for measuring blood pressure（BP）of pilot cadets candidates.Methods A total of 900 young students were recruited by using random sampling method from the students taking part in the 2015 annual navy medical selection of pilot cadets.The consistency of BP values measured by electronic sphygmomanometers，and mercury sphygmomanometers were respectively compared in calm state and motion state.Results The consistency of the measurement results recorded by two kinds of sphygmomanometers was compared by using interclass correlation coefficient（ICC）and Bland-Altman plots. The ICC between systolic BP values and the ICC between diastolic BP had consistency.The research found out the systolic BP difference［（0.57+3.21）mmHg］and diastolic BP difference［（0.71+ 3.62）mmHg］in calm state，systolic BP difference（0.61+3.59）mmHg and diastolic BP difference （0.81+3.65）mmHg in motion state were all within the scope of the range（¯x±1.96s）by Bland-Altman plots for scatter distribution.Conclusion There was good consistency between the BP values measured by two kinds of sphygmomanometers，so upper-arm electronic BP monitor can substitute for mercury sphygmomanometers in medical selection of pilot cadets.

［Key words］Electronic sphygmomanometer；Mercury sphygmomanometer；Physical examination

随着现代科技的发展，电子血压计已广泛地应用于临床和健康体检。通过不断的技术革新，电子血压计在软件管理、结构设计、智能化等方面不断完善，使其具有良好的稳定性和准确性，相对水银血压计而言，电子血压计更加简便，已成为家用血压监测的主要工具，在医院等医疗机构中也有很好的应用，呈现逐步替代水银血压计的趋势。

血压是招飞体检内科检测的重要项目之一，在平静状态和运动负荷试验中都需要测量血压。……