三级甲等医院临床护理单元从业护士诊室血压及动态血压监测数据分析

目的：分析三级甲等医院临床护理单元从业护士诊室血压（OBP）及动态血压（ABPM）监测数据。方法选择参加2012年春季体检的辽宁省人民医院和辽宁省金秋医院临床科室从业护士71名为分析对象，对照组为76名同期参加健康体检的某事业单位女职工。全部入选对象均接受了OBP和24 h-ABPM检测。结果从业护士组的隐性高血压（MH）患病率为14．08％，明显高于对照组的2．63％，差异有统计学意义（χ2＝6．423，P＜0．05），而白大衣高血压（WCH）患病率为1．41％，明显低于对照组的11．84％，差异有统计学意义（χ2＝4．761，P＜0．05）。 OBP测量指标比较中，从业护士组的OSBP、ODSP平均测量值分别为（125．35＆#177;15．14），（76．15＆#177;9．67） mmHg，均明显低于对照组的（131．71＆#177;16．62），（82．94＆#177;11．25）mmHg，差异有统计学意义（t分别为2．418，3．907；P＜0．05）。 ABPM监测指标比较中，从业护士组的24 h-mSBP、24 h-mDBP分别为（127．34＆#177;13．46），（79．47＆#177;10．36）mmHg，均明显高于对照组的（121．09＆#177;13．73），（75．82＆#177;9．18）mmHg，差异有统计学意义（t分别为2．781，2．261；P＜0．05）。dSBP、dDBP、nSBP、nDBP测量值和负荷值均明显高于对照组，差异有统计学意义（t分别为2．918，3．284，2．547，3．544，2．864，2．561，2．623，2．837；P＜0．05）。结论大医院临床护理单元从业护士群体ABPM各类监测指标及血压负荷值较高，OBP测量值较低，并存在着MH患病率增加现象。

Analysis of the office blood pressure and ambulatory blood pressure monitoring among clinical nurses from level of first-class hospitals

Objective To analyze the office blood pressure （ OBP ） and ambulatory blood pressure monitoring （ABPM） among clinical nurses in large hospitals .Methods Totals of 71 clinical nurses from large hospitals of Liaoning provincial were recruited as analysis objects .And 76 female staffs from other institutions took part in the Physical Check-up during the same time were recruited as control group .All the recruited objects received the office blood pressure （ OBP ） and ambulatory blood pressure monitoring （ ABPM ） . Results The prevalence of masked hypertension （ MH） in clinical nurses was higherthan that in control group （14.08%vs 2.63%,χ2 =6.423,P＆lt;0.05）.The prevalence of white coat hypertension （WCH） in clinical nurses was lower than that in control group （1.41% vs 11.84%,χ2 =4.761,P＆lt;0.05）.The mean value of OSBP,ODSP of clinical nurses was significantly lower than that of control group OSBP ：（125.35 ＆#177;15.14） vs （131.71 ＆#177;16.62）,t=2.418,P＆lt;0.05;ODSP：（76.15 ＆#177;9.67） vs （82.94 ＆#177;11.25）,t=3.907,P＆lt;0.05）]. The measured value of 24h-mSBP（127.34 ＆#177;13.46） vs （121.09 ＆#177;13.73）,24h-mDBP（79.47 ＆#177;10.36） vs （75.82 ＆#177;9.18）,dSBP,dDBP,nSBP,nDBP and loading value of dSBP ,dDBP,nSBP,nDBP of clinical nurses were significantly higher than those of control group （t =2.781,2.261,2.918,3.284,2.547,3.544,2.864, 2.561,2.623,2.837,respectively;P ＆lt;0.05）.Conclusions Among clinical nurses from large hospitals, measured value and loading value of ABPM were higher , OBP was lower and MH prevalence was increasing .