Petrella Robert J, Merikle Elizabeth P, Jones Jared
Department of Family Medicine, Schulich School of Medicine, University of Western Ontario, London, Ontario, Canada.
J Clin Hypertens (Greenwich). 2007 Jan;9(1):28-35. doi: 10.1111/j.1524-6175.2007.05944.x.
Since most cases of hypertension are managed in family practice, estimates of the prevalence, treatment, and control in the primary care population are needed to adequately address the burden of hypertension in Canada as it has in other countries. The authors used a large primary care research database to determine the prevalence of hypertension between 2000 and 2003. Blood pressure recordings were used to estimate the rates of prevalence, treatment, and control of hypertension for the overall population and for important subgroups. The prevalence of hypertension was 17.3%, most patients had untreated hypertension (68.6%), and only 15.8% had blood pressure treated and controlled. Higher rates of treatment and control were observed among older adults, those with type II diabetes, and those with a previous myocardial infarction. Odds of achieving target blood pressure were significantly better when combination therapy vs monotherapy was used. The prevalence of hypertension in primary care is high and most patients remain untreated; however, increased risk appears to lead to better treatment and control.
由于大多数高血压病例在家庭医疗中得到管理，因此需要对初级保健人群中的患病率、治疗率和控制率进行估计，以便像其他国家那样充分应对加拿大的高血压负担。作者使用了一个大型初级保健研究数据库来确定2000年至2003年期间高血压的患病率。血压记录用于估计总体人群以及重要亚组的高血压患病率、治疗率和控制率。高血压患病率为17.3%，大多数患者患有未经治疗的高血压（68.6%），只有15.8%的患者血压得到治疗并得到控制。在老年人、II型糖尿病患者和既往有心肌梗死的患者中观察到较高的治疗率和控制率。与单一疗法相比，使用联合疗法时达到目标血压的几率明显更高。初级保健中高血压的患病率很高，大多数患者仍未接受治疗；然而，风险增加似乎会导致更好的治疗和控制。
