动态血压参考值
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@ -218,8 +218,10 @@ import { Loading, Delete } from '@element-plus/icons-vue'
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import { ElMessageBox, ElMessage } from 'element-plus'
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import { AbpmdataApi } from '@/api/abpmdata'
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import { abpmApi } from '@/api/abpm'
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import { ThresholdsApi } from '@/api/system/thresholds'
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import dayjs from 'dayjs'
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import { formatDate } from '@/utils/formatTime'
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import { getUserProfile } from '@/api/system/user/profile'
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// 控制弹窗显示
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const visible = ref(false)
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@ -268,6 +270,138 @@ const patientData = reactive({
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// 分析结果内容 - 清空测试内容
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const analysisResult = ref('')
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// 阈值配置数据
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const thresholds = ref<any>({})
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// 默认阈值配置
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const defaultThresholds = {
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// 血压分级阈值
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bp_normal_systolic: 120,
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bp_normal_diastolic: 80,
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bp_mild_systolic: 140,
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bp_mild_diastolic: 90,
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bp_moderate_systolic: 180,
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bp_moderate_diastolic: 110,
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// 整天血压正常值
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bp_all_day_systolic: 130,
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bp_all_day_diastolic: 80,
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// 白天血压正常值
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bp_daytime_systolic: 135,
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bp_daytime_diastolic: 85,
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// 夜间血压正常值
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bp_nighttime_systolic: 120,
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bp_nighttime_diastolic: 70,
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// 血压负荷正常范围
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bp_load_min: 5,
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bp_load_max: 15,
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// 夜间血压下降正常范围
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bp_drop_min: 10,
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bp_drop_max: 20,
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// 血压负荷阈值
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bp_load_total_systolic: 140,
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bp_load_total_diastolic: 90,
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bp_load_daytime_systolic: 135,
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bp_load_daytime_diastolic: 85,
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bp_load_nighttime_systolic: 120,
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bp_load_nighttime_diastolic: 70
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}
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// 加载阈值配置
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const loadThresholds = async (orgid: number) => {
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try {
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const userinfo = await getUserProfile()
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if (userinfo) {
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orgid = userinfo.orgid
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}
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const res = await ThresholdsApi.getThresholdsByOrgId(orgid)
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if (res && res && res.length > 0) {
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// 解析按时间段分组的阈值数据
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const thresholdMap: any = {}
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res.forEach((periodGroup: any) => {
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const periodType = periodGroup.periodType
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const thresholdsList = periodGroup.thresholdsList || []
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thresholdsList.forEach((threshold: any) => {
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const metricType = threshold.metrictype
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const key = `${periodType}_${metricType}`
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thresholdMap[key] = {
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minValue: threshold.minValue,
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maxValue: threshold.maxValue,
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unit: threshold.unit
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}
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})
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})
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// 合并接口数据和默认值
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thresholds.value = {
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// 血压分级阈值 - 使用全天的收缩压和舒张压阈值
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bp_normal_systolic:
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thresholdMap['全天_收缩压']?.maxValue || defaultThresholds.bp_normal_systolic,
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bp_normal_diastolic:
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thresholdMap['全天_舒张压']?.maxValue || defaultThresholds.bp_normal_diastolic,
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bp_mild_systolic: defaultThresholds.bp_mild_systolic, // 轻度高血压阈值保持默认
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bp_mild_diastolic: defaultThresholds.bp_mild_diastolic,
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bp_moderate_systolic: defaultThresholds.bp_moderate_systolic, // 中度高血压阈值保持默认
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bp_moderate_diastolic: defaultThresholds.bp_moderate_diastolic,
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// 整天血压正常值
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bp_all_day_systolic:
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thresholdMap['全天_收缩压']?.maxValue || defaultThresholds.bp_all_day_systolic,
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bp_all_day_diastolic:
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thresholdMap['全天_舒张压']?.maxValue || defaultThresholds.bp_all_day_diastolic,
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// 白天血压正常值
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bp_daytime_systolic:
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thresholdMap['白天_收缩压']?.maxValue || defaultThresholds.bp_daytime_systolic,
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bp_daytime_diastolic:
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thresholdMap['白天_舒张压']?.maxValue || defaultThresholds.bp_daytime_diastolic,
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// 夜间血压正常值
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bp_nighttime_systolic:
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thresholdMap['夜间_收缩压']?.maxValue || defaultThresholds.bp_nighttime_systolic,
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bp_nighttime_diastolic:
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thresholdMap['夜间_舒张压']?.maxValue || defaultThresholds.bp_nighttime_diastolic,
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// 血压负荷正常范围 - 保持默认值
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bp_load_min: defaultThresholds.bp_load_min,
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bp_load_max: defaultThresholds.bp_load_max,
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// 夜间血压下降正常范围 - 保持默认值
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bp_drop_min: defaultThresholds.bp_drop_min,
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bp_drop_max: defaultThresholds.bp_drop_max,
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// 血压负荷阈值 - 使用对应时间段的阈值
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bp_load_total_systolic:
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thresholdMap['全天_收缩压']?.maxValue || defaultThresholds.bp_load_total_systolic,
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bp_load_total_diastolic:
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thresholdMap['全天_舒张压']?.maxValue || defaultThresholds.bp_load_total_diastolic,
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bp_load_daytime_systolic:
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thresholdMap['白天_收缩压']?.maxValue || defaultThresholds.bp_load_daytime_systolic,
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bp_load_daytime_diastolic:
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thresholdMap['白天_舒张压']?.maxValue || defaultThresholds.bp_load_daytime_diastolic,
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bp_load_nighttime_systolic:
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thresholdMap['夜间_收缩压']?.maxValue || defaultThresholds.bp_load_nighttime_systolic,
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bp_load_nighttime_diastolic:
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thresholdMap['夜间_舒张压']?.maxValue || defaultThresholds.bp_load_nighttime_diastolic
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}
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} else {
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// 如果接口没有返回数据，使用默认配置
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thresholds.value = { ...defaultThresholds }
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}
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} catch (error) {
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console.warn('加载阈值配置失败，使用默认配置:', error)
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// 如果接口调用失败，使用默认配置
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thresholds.value = { ...defaultThresholds }
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}
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}
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// 打开弹窗方法 - 增加数据参数
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const open = async (rowData?: any) => {
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if (rowData) {
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@ -281,6 +415,8 @@ const open = async (rowData?: any) => {
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loading.value = true
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try {
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// 首先加载阈值配置
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await loadThresholds(rowData.orgid || 1)
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// 1. 首先通过条件查询获取ABPM记录ID
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const abpmPageRes = await abpmApi.getabpmPage({
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examid: rowData.examid,
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@ -632,9 +768,13 @@ const getGenderText = (gender: string) => {
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// 血压状态判断函数
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const getBPStatus = (systolic: number, diastolic: number) => {
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if (systolic < 120 && diastolic < 80) return '正常血压'
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if (systolic < 140 && diastolic < 90) return '轻度高血压'
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if (systolic < 180 && diastolic < 110) return '中度高血压'
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const config = thresholds.value
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if (systolic < config.bp_normal_systolic && diastolic < config.bp_normal_diastolic)
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return '正常血压'
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if (systolic < config.bp_mild_systolic && diastolic < config.bp_mild_diastolic)
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return '轻度高血压'
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if (systolic < config.bp_moderate_systolic && diastolic < config.bp_moderate_diastolic)
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return '中度高血压'
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return '重度高血压'
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}
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@ -806,19 +946,24 @@ const generateAnalysisReport = (rawList: any[]) => {
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const nighttimeMeanPressure = Math.round((nighttimeSystolic + 2 * nighttimeDiastolic) / 3)
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// 计算血压负荷（异常血压占比）
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const config = thresholds.value
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const totalSystolicLoad = (
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(systolicValues.filter((v) => v >= 140).length / systolicValues.length) *
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(systolicValues.filter((v) => v >= config.bp_load_total_systolic).length /
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systolicValues.length) *
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100
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).toFixed(2)
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const totalDiastolicLoad = (
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(diastolicValues.filter((v) => v >= 90).length / diastolicValues.length) *
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(diastolicValues.filter((v) => v >= config.bp_load_total_diastolic).length /
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diastolicValues.length) *
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100
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).toFixed(2)
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const daytimeSystolicLoad =
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daytimeData.length > 0
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? (
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(daytimeData.filter((item) => (Number(item.systolicpressure) || 0) >= 135).length /
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(daytimeData.filter(
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(item) => (Number(item.systolicpressure) || 0) >= config.bp_load_daytime_systolic
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).length /
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daytimeData.length) *
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100
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).toFixed(2)
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@ -826,7 +971,9 @@ const generateAnalysisReport = (rawList: any[]) => {
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const daytimeDiastolicLoad =
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daytimeData.length > 0
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? (
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(daytimeData.filter((item) => (Number(item.diastolicpressure) || 0) >= 85).length /
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(daytimeData.filter(
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(item) => (Number(item.diastolicpressure) || 0) >= config.bp_load_daytime_diastolic
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).length /
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daytimeData.length) *
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100
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).toFixed(2)
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@ -835,7 +982,9 @@ const generateAnalysisReport = (rawList: any[]) => {
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const nighttimeSystolicLoad =
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nighttimeData.length > 0
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? (
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(nighttimeData.filter((item) => (Number(item.systolicpressure) || 0) >= 120).length /
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(nighttimeData.filter(
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(item) => (Number(item.systolicpressure) || 0) >= config.bp_load_nighttime_systolic
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).length /
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nighttimeData.length) *
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100
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).toFixed(2)
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@ -843,7 +992,9 @@ const generateAnalysisReport = (rawList: any[]) => {
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const nighttimeDiastolicLoad =
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nighttimeData.length > 0
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? (
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(nighttimeData.filter((item) => (Number(item.diastolicpressure) || 0) >= 70).length /
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(nighttimeData.filter(
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(item) => (Number(item.diastolicpressure) || 0) >= config.bp_load_nighttime_diastolic
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).length /
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nighttimeData.length) *
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100
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).toFixed(2)
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@ -861,16 +1012,16 @@ const generateAnalysisReport = (rawList: any[]) => {
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// 判断杓型
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const getSystolicDropType = (drop: number) => {
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if (drop >= 10 && drop <= 20) return '杓型'
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if (drop > 20) return '深杓型'
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if (drop >= 0 && drop < 10) return '非杓型'
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if (drop >= config.bp_drop_min && drop <= config.bp_drop_max) return '杓型'
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if (drop > config.bp_drop_max) return '深杓型'
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if (drop >= 0 && drop < config.bp_drop_min) return '非杓型'
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return '反杓型'
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}
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const getDiastolicDropType = (drop: number) => {
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if (drop >= 10 && drop <= 20) return '杓型'
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if (drop > 20) return '深杓型'
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if (drop >= 0 && drop < 10) return '非杓型'
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if (drop >= config.bp_drop_min && drop <= config.bp_drop_max) return '杓型'
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if (drop > config.bp_drop_max) return '深杓型'
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if (drop >= 0 && drop < config.bp_drop_min) return '非杓型'
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return '反杓型'
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}
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@ -884,14 +1035,14 @@ const generateAnalysisReport = (rawList: any[]) => {
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}
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const getLoadStatusText = (load: number) => {
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return load >= 5 && load <= 15 ? '正常' : '异常'
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return load >= config.bp_load_min && load <= config.bp_load_max ? '正常' : '异常'
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}
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// 生成结论建议
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const generateConclusion = () => {
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const issues: string[] = []
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if (avgSystolic >= 130 || avgDiastolic >= 80) {
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if (avgSystolic >= config.bp_all_day_systolic || avgDiastolic >= config.bp_all_day_diastolic) {
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issues.push('全程平均血压轻度升高')
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}
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@ -903,7 +1054,7 @@ const generateAnalysisReport = (rawList: any[]) => {
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issues.push('夜间血压负荷>40%')
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}
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if (Number(systolicDrop) < 10 || Number(diastolicDrop) < 10) {
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if (Number(systolicDrop) < config.bp_drop_min || Number(diastolicDrop) < config.bp_drop_min) {
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issues.push('夜间血压下降不足')
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}
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@ -918,12 +1069,12 @@ const generateAnalysisReport = (rawList: any[]) => {
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return `全程检测血压次数${totalCount}次，有效次数${effectiveCount}次，有效率${effectiveRate}%；
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最高收缩压${maxSystolic}mmHg，发生于${maxSystolicTime}；最高舒张压${maxDiastolic}mmHg，发生于${maxDiastolicTime}；
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最低收缩压${minSystolic}mmHg，发生于${minSystolicTime}；最低舒张压${minDiastolic}mmHg，发生于${minDiastolicTime}；
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整天血压平均值：收缩压${avgSystolic}mmHg(${getStatusText(avgSystolic, 130)}) （正常值<130mmHg）；舒张压${avgDiastolic}mmHg(${getStatusText(avgDiastolic, 80)}) （正常值<80mmHg）；平均压${avgMeanPressure}mmHg；
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白天血压平均值：收缩压${daytimeSystolic}mmHg(${getStatusText(daytimeSystolic, 135)}) （正常值<135mmHg）；舒张压${daytimeDiastolic}mmHg(${getStatusText(daytimeDiastolic, 85)}) （正常值<85mmHg）；平均压${daytimeMeanPressure}mmHg；
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夜间血压平均值：收缩压${nighttimeSystolic}mmHg(${getStatusText(nighttimeSystolic, 120)}) （正常值<120mmHg）；舒张压${nighttimeDiastolic}mmHg(${getStatusText(nighttimeDiastolic, 70)}) （正常值<70mmHg）；平均压${nighttimeMeanPressure}mmHg；
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收缩压负荷：整天${totalSystolicLoad}% （${getLoadStatusText(Number(totalSystolicLoad))}）(正常范围5%-15%)； 白天${daytimeSystolicLoad}% （${getLoadStatusText(Number(daytimeSystolicLoad))}）(正常范围5%-15%)；夜间${nighttimeSystolicLoad}% （${getLoadStatusText(Number(nighttimeSystolicLoad))}）(正常范围5%-15%)；
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舒张压负荷：整天${totalDiastolicLoad}% （${getLoadStatusText(Number(totalDiastolicLoad))}）(正常范围5%-15%)； 白天${daytimeDiastolicLoad}% （${getLoadStatusText(Number(daytimeDiastolicLoad))}）(正常范围5%-15%)；夜间${nighttimeDiastolicLoad}% （${getLoadStatusText(Number(nighttimeDiastolicLoad))}）(正常范围5%-15%)；
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夜间比白天血压下降：收缩压${systolicDrop}% （${getSystolicDropType(Number(systolicDrop))}） （正常值 10%-20%）；舒张压${diastolicDrop}% （${getDiastolicDropType(Number(diastolicDrop))}） （正常值 10%-20%）；
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整天血压平均值：收缩压${avgSystolic}mmHg(${getStatusText(avgSystolic, config.bp_all_day_systolic)}) （正常值<${config.bp_all_day_systolic}mmHg）；舒张压${avgDiastolic}mmHg(${getStatusText(avgDiastolic, config.bp_all_day_diastolic)}) （正常值<${config.bp_all_day_diastolic}mmHg）；平均压${avgMeanPressure}mmHg；
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白天血压平均值：收缩压${daytimeSystolic}mmHg(${getStatusText(daytimeSystolic, config.bp_daytime_systolic)}) （正常值<${config.bp_daytime_systolic}mmHg）；舒张压${daytimeDiastolic}mmHg(${getStatusText(daytimeDiastolic, config.bp_daytime_diastolic)}) （正常值<${config.bp_daytime_diastolic}mmHg）；平均压${daytimeMeanPressure}mmHg；
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夜间血压平均值：收缩压${nighttimeSystolic}mmHg(${getStatusText(nighttimeSystolic, config.bp_nighttime_systolic)}) （正常值<${config.bp_nighttime_systolic}mmHg）；舒张压${nighttimeDiastolic}mmHg(${getStatusText(nighttimeDiastolic, config.bp_nighttime_diastolic)}) （正常值<${config.bp_nighttime_diastolic}mmHg）；平均压${nighttimeMeanPressure}mmHg；
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收缩压负荷：整天${totalSystolicLoad}% （${getLoadStatusText(Number(totalSystolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)； 白天${daytimeSystolicLoad}% （${getLoadStatusText(Number(daytimeSystolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)；夜间${nighttimeSystolicLoad}% （${getLoadStatusText(Number(nighttimeSystolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)；
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舒张压负荷：整天${totalDiastolicLoad}% （${getLoadStatusText(Number(totalDiastolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)； 白天${daytimeDiastolicLoad}% （${getLoadStatusText(Number(daytimeDiastolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)；夜间${nighttimeDiastolicLoad}% （${getLoadStatusText(Number(nighttimeDiastolicLoad))}）(正常范围${config.bp_load_min}%-${config.bp_load_max}%)；
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夜间比白天血压下降：收缩压${systolicDrop}% （${getSystolicDropType(Number(systolicDrop))}） （正常值 ${config.bp_drop_min}%-${config.bp_drop_max}%）；舒张压${diastolicDrop}% （${getDiastolicDropType(Number(diastolicDrop))}） （正常值 ${config.bp_drop_min}%-${config.bp_drop_max}%）；
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${generateConclusion()}`
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}
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@ -1195,13 +1346,105 @@ const clearAllData = () => {
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analysisResult.value = '暂无数据，无法生成分析报告'
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}
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// 计算饼图统计数据
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const calculatePieChartStats = () => {
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const data = chartDataTable.value
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if (!data || data.length === 0) {
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return {
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systolic: {
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day: { normal: 0, abnormal: 0 },
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night: { normal: 0, abnormal: 0 },
|
||||
allDay: { normal: 0, abnormal: 0 }
|
||||
},
|
||||
diastolic: {
|
||||
day: { normal: 0, abnormal: 0 },
|
||||
night: { normal: 0, abnormal: 0 },
|
||||
allDay: { normal: 0, abnormal: 0 }
|
||||
},
|
||||
heartRate: {
|
||||
day: { normal: 0, abnormal: 0 },
|
||||
night: { normal: 0, abnormal: 0 },
|
||||
allDay: { normal: 0, abnormal: 0 }
|
||||
}
|
||||
}
|
||||
}
|
||||
|
||||
// 时间分割函数
|
||||
const isDaytime = (timeStr: string) => {
|
||||
const hour = parseInt(timeStr.split(':')[0])
|
||||
return hour >= 8 && hour < 22
|
||||
}
|
||||
|
||||
// 分类数据
|
||||
const daytimeData = data.filter((item) => isDaytime(item.time))
|
||||
const nighttimeData = data.filter((item) => !isDaytime(item.time))
|
||||
|
||||
// 计算统计函数
|
||||
const calculateStats = (dataSet: any[], type: 'systolic' | 'diastolic' | 'heartRate') => {
|
||||
let normalCount = 0
|
||||
let abnormalCount = 0
|
||||
|
||||
dataSet.forEach((item) => {
|
||||
let value: number
|
||||
let isNormal = false
|
||||
|
||||
if (type === 'systolic') {
|
||||
value = item.systolic
|
||||
// 白天: 90-140, 夜间: 80-120
|
||||
const isDayTime = isDaytime(item.time)
|
||||
isNormal = isDayTime ? value >= 90 && value <= 140 : value >= 80 && value <= 120
|
||||
} else if (type === 'diastolic') {
|
||||
value = item.diastolic
|
||||
// 白天: 65-90, 夜间: 55-80
|
||||
const isDayTime = isDaytime(item.time)
|
||||
isNormal = isDayTime ? value >= 65 && value <= 90 : value >= 55 && value <= 80
|
||||
} else {
|
||||
// heartRate
|
||||
value = item.heartRate
|
||||
// 心率: 50-90
|
||||
isNormal = value >= 50 && value <= 90
|
||||
}
|
||||
|
||||
if (isNormal) {
|
||||
normalCount++
|
||||
} else {
|
||||
abnormalCount++
|
||||
}
|
||||
})
|
||||
|
||||
return { normal: normalCount, abnormal: abnormalCount }
|
||||
}
|
||||
|
||||
return {
|
||||
systolic: {
|
||||
day: calculateStats(daytimeData, 'systolic'),
|
||||
night: calculateStats(nighttimeData, 'systolic'),
|
||||
allDay: calculateStats(data, 'systolic')
|
||||
},
|
||||
diastolic: {
|
||||
day: calculateStats(daytimeData, 'diastolic'),
|
||||
night: calculateStats(nighttimeData, 'diastolic'),
|
||||
allDay: calculateStats(data, 'diastolic')
|
||||
},
|
||||
heartRate: {
|
||||
day: calculateStats(daytimeData, 'heartRate'),
|
||||
night: calculateStats(nighttimeData, 'heartRate'),
|
||||
allDay: calculateStats(data, 'heartRate')
|
||||
}
|
||||
}
|
||||
}
|
||||
|
||||
// 处理报告预览
|
||||
const handleReportPreview = () => {
|
||||
// 计算饼图统计数据
|
||||
const pieChartStats = calculatePieChartStats()
|
||||
|
||||
// 构造要传递的数据
|
||||
const reportData = {
|
||||
patientData: patientData,
|
||||
chartDataTable: chartDataTable.value,
|
||||
analysisResult: analysisResult.value
|
||||
analysisResult: analysisResult.value,
|
||||
pieChartStats: pieChartStats
|
||||
}
|
||||
|
||||
// 打开新窗口并全屏展示 abpm-report-template.html (注意路径不包含public)
|
||||
|
||||
Loading…
Reference in New Issue
Block a user