Cederholm Jan, Nilsson Peter M, Anderberg Carl-Peter, Fröberg Lars, Petersson Ulla
Family Medicine Section, Department of Public Health and Caring Sciences, University Hospital, Uppsala University, Uppsala, Sweden.
Scand J Prim Health Care. 2002 Dec;20(4):224-9. doi: 10.1080/028134302321004881.
To evaluate antihypertensive treatment and other cardiovascular risk factors in primary health care.
Cross-sectional survey of consecutive patients with treated hypertension in 1999.
17 primary care centres in Sweden.
512 patients (mean age 67; SD 11 years).
Antihypertensive treatment, cardiovascular risk factors.
Patients with high diastolic BP (> or = 100 mmHg) and systolic BP (> 180 mmHg) values were few. The proportions with diastolic BP < 90, BP < 160/95 and < 140/90 mmHg were 64%, 54% and 15%. Mono-therapy was given in 51%, and > or = 3 drugs in 13%. Hypertensives with hyperlipidaemia were 42%, and only 26% of them were given lipid-lowering drugs, mainly statins, 21%. Smokers were 10%, 23% had diabetes, and many had overweight BMI = 25 kg/m2, 72%.
Although two-thirds had diastolic BP < 90 mmHg, few had BP below the current treatment target < 140/90 mmHg. More than half of the hypertensives had at least one additional cardiovascular risk factor, and these hypertensives also had low proportions within several current treatment targets of hypertension and hyperlipidaemia, implying a need for intensified multiple risk factor intervention.
评估初级卫生保健中的降压治疗及其他心血管危险因素。
对1999年接受治疗的高血压患者进行连续横断面调查。
瑞典的17个初级保健中心。
512例患者（平均年龄67岁；标准差11岁）。
降压治疗、心血管危险因素。
舒张压（≥100 mmHg）和收缩压（>180 mmHg）值高的患者较少。舒张压<90 mmHg、血压<160/95 mmHg和<140/90 mmHg的比例分别为64%、54%和15%。51%的患者接受单药治疗，13%的患者接受≥3种药物治疗。合并高脂血症的高血压患者占42%，其中仅26%接受降脂药物治疗，主要是他汀类药物，占21%。吸烟者占10%，23%患有糖尿病，许多人超重（BMI = 25 kg/m²），占72%。
尽管三分之二的患者舒张压<90 mmHg，但很少有患者血压低于当前治疗目标<140/90 mmHg。超过一半的高血压患者至少还有一种其他心血管危险因素，而且这些高血压患者在高血压和高脂血症的几个当前治疗目标范围内的比例也较低，这意味着需要加强对多种危险因素的干预。
