英格兰高血压管理的改善：2003年英格兰健康调查结果

Improvement in hypertension management in England: results from the Health Survey for England 2003.

作者信息

Primatesta Paola, Poulter Neil R

机构信息

Department of Epidemiology and Public Health, University College London Medical School, London, UK.

出版信息

J Hypertens. 2006 Jun;24(6):1187-92. doi: 10.1097/01.hjh.0000226210.95936.bc.

DOI:10.1097/01.hjh.0000226210.95936.bc

PMID:16685220

Abstract

OBJECTIVE

To evaluate the mean levels of blood pressure and hypertension (> or = 140 mmHg systolic or > or = 90 mmHg diastolic pressure or on treatment for hypertension) in the adult English population, and to evaluate any changes in the efficacy of hypertension management between 1994 and 2003.

DESIGN/METHODS: Cross-sectional surveys. England, 2003. A nationally representative sample of 8834 non-institutionalized adults (aged > or = 16 years). Rates of awareness, treatment and control of hypertension.

RESULTS

Since 1994, mean systolic blood pressure has fallen by 1.6 and 4.3 mmHg in male and female adults, respectively. The rates of awareness and treatment have increased, and control rates (< 140 mmHg systolic and < 90 mmHg diastolic) among hypertensive men and women have approximately doubled to 21.5 and 22.8%, respectively. Of those on treatment for hypertension, the majority (56%) are on two or more agents compared with 40% in 1994 and 1998.

CONCLUSION

Hypertension management has improved greatly since 1994, with more awareness, treatment and control. Nevertheless, in 2003 the majority of hypertensive adults in England had blood pressure levels above the currently recommended targets.

摘要

目的

评估成年英国人群的平均血压水平及高血压（收缩压≥140 mmHg或舒张压≥90 mmHg或正在接受高血压治疗）情况，并评估1994年至2003年间高血压管理效果的变化。

设计/方法：横断面调查。2003年在英格兰进行。对8834名非机构化成年人（年龄≥16岁）进行全国代表性抽样。调查高血压的知晓率、治疗率和控制率。

结果

自1994年以来，成年男性和女性的平均收缩压分别下降了1.6 mmHg和4.3 mmHg。知晓率和治疗率有所提高，高血压男性和女性的控制率（收缩压<140 mmHg且舒张压<90 mmHg）分别增至约21.5%和22.8%，几乎翻了一番。在接受高血压治疗的人群中，大多数（56%）使用两种或更多药物，而1994年和1998年这一比例为40%。