Jensen H H, Sørensen E W, Heebøll-Nielsen N C, Nielsen P E
Frederikssund Sygehus, Medicinsk afdeling, Allerød.
Ugeskr Laeger. 1992 Aug 24;154(35):2344-5.
By means of a questionnaire investigation, 150 general practitioners selected at random were asked about how they defined isolated systolic hypertension in elderly individuals, whether they employed medicinal treatment of this patients group and what their reasons for this were. The mean values for the highest systolic blood pressure which were considered to be normal were 175, 185 and 200 mmHg for the age groups 60-69 years, 70-79 years and > or = 80 years. Only approximately one fourth of Danish general practitioners consider medicinal treatment of isolated systolic hypertension and only at a much higher systolic blood pressure level than shown by a corresponding investigation among American doctors where 89% employ treatment for isolated systolic hypertension. On the basis of the present strategy in Denmark and the recent results from the first prospective placebo-controlled investigation of the treatment of isolated systolic hypertension, the future therapeutic strategy is discussed.
通过问卷调查，随机选取了150名全科医生，询问他们如何定义老年人单纯收缩期高血压，他们是否对该患者群体进行药物治疗以及这样做的原因。60 - 69岁、70 - 79岁以及≥80岁年龄组中，被认为正常的最高收缩压平均值分别为175 mmHg、185 mmHg和200 mmHg。丹麦只有约四分之一的全科医生会考虑对单纯收缩期高血压进行药物治疗，而且治疗时的收缩压水平比美国医生相应调查中所显示的要高得多，在美国，89%的医生会对单纯收缩期高血压进行治疗。基于丹麦目前的策略以及最近首次对单纯收缩期高血压治疗进行的前瞻性安慰剂对照研究结果，对未来的治疗策略进行了讨论。
