高血压个体家庭连续自测收缩压特征描述与分析
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国家自然科学基金“模型及人工智能引导的多肿瘤行为干预方案优化与评价”(71774002)


The characteristics of continuous self⁃monitoring systolic blood pressure and its implications for personalized case management
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    摘要:

    文章从个体角度出发,分析患者自测收缩压和血压测量行为特征,为传统的以群体为对象的研究提供补充,为高血压个性化精准干预提供线索。从科大讯飞医疗高血压管理平台下载选定患者的全部收缩压自测数据及测量日期和时间。通过安徽省气象局官方网站查阅并记录患者自测血压时的日平均气温。将数据合并后导入微软Excel软件,利用其中的插图功能为每位患者绘制4种散点图。分类逐一人工观察上述过程绘制的全部散点图,从每类散点图中挑选4个差别明显的个例(共16个)构成易于直观比较的散点图组合。结果发现,每种类型的“组合图”均可见差别迥异的散点图。有的呈上升趋势,有的呈下降趋势,有的相对平稳,有的呈周期波动,有的分布范围明显变宽,有的则可见明显的散点密集区、稀疏区和空白区。个体间的收缩压表现差异悬殊,测量行为也各有特点,传统的主要关注群体血压集中趋势的做法忽视了个体差异,分析个体的单独表现有可能为高血压个性化精准管理提供新的线索。

    Abstract:

    The purpose of this study is analyzing the behavior characteristics of self?measured individual systolic blood pressure (SBP),providing supplementary information for the traditional study which groups as their objects, and establishing a new insight into personalized and precise intervention with hypertension case management. Firstly, the data of SBP was downloaded from iFLYTEK online database. Meanwhile, the average daily temperature when they measured the blood pressure was collected from Anhui Provincial Meteorological Bureau official website. Secondly, these data were analyzed by Excel and four types of scatter gram were provided for patients. Finally, all the scatter plots were examined one by one and 4 typical cases were picked up from each of the four types, furthermore, another more visualized, comparatively groups scatter gram was generated from the 16 individual hypertension patients. According to the gram, we can see that: some of the plots increasing while others, relatively stable, fluctuating and decreasing trend. Some plots display apparently greater range of variations than others and some plots show vertical blank zones, while others, have obvious density area, scattered areas and blank areas. There are great disparities among individual hypertension data and the methods of measurement. The traditional ways are more attentive to blood pressure monitoring in groups than in individuals. Analysis of individual performance in our study may provide a new method for personalized and accurate management of hypertension case management.

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马晓涵,,吴 越,,柴 静,,沈兴蓉,,王德斌.高血压个体家庭连续自测收缩压特征描述与分析[J].南京医科大学学报(社会科学版),2020,(2):151~156

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  • 收稿日期:2019-12-09
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  • 在线发布日期: 2020-04-30
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