Wang Lexin, Wei Tiemin
School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, Australia.
Clin Exp Hypertens. 2006 Jan;28(1):41-6. doi: 10.1080/10641960500386676.
The objective of own study was to investigate the quality of hypertension management in a rural Chinese population. A prospective cross-sectional study was conducted in 922 hypertensive patients in a regional community in southern China. The average systolic (SBP) and diastolic blood pressure (DBP) was 167.8 +/- 22.5 mmHg and 94.3 +/- 14.2 mmHg respectively. A total of 823 patients (89.3%) patients had a SBP of greater than or equal to 140 mmHg, and 596 (64.6%) had a DBP of greater than or equal to 90 mmHg. Fully 568 patients (69.7%) were treated with one or two antihypertensive drugs, mostly with calcium channel blockers. In patients treated with antihypertensive drugs, the average SBP and DBP were 170.3 +/- 23.1 mmHg and 96.2 +/- 14.8 mmHg, respectively. Blood pressure was poorly controlled in these hypertensive patients. Further studies are required to identify the barriers to the effective management of uncontrolled hypertension in a rural setting.
本研究的目的是调查中国农村人群高血压管理的质量。在中国南方一个地区社区的922名高血压患者中进行了一项前瞻性横断面研究。收缩压(SBP)和舒张压(DBP)的平均值分别为167.8±22.5 mmHg和94.3±14.2 mmHg。共有823名患者(89.3%)收缩压大于或等于140 mmHg,596名(64.6%)舒张压大于或等于90 mmHg。足足568名患者(69.7%)接受了一种或两种降压药物治疗,主要是钙通道阻滞剂。在接受降压药物治疗的患者中,平均收缩压和舒张压分别为170.3±23.1 mmHg和96.2±14.8 mmHg。这些高血压患者血压控制不佳。需要进一步研究以确定农村地区未控制高血压有效管理的障碍。