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[西班牙初级卫生保健中移民患者的动脉高血压]

[Arterial hypertension in immigrant patients in Spanish primary health care].

作者信息

Llisterri Caro José Luis, Alonso Moreno Francisco J, Martincano Gómez José Luis, López Abuin José Manuel, Rodríguez Roca Gustavo C, Banegas Banegas José R

机构信息

Centro de Salud Joaquín Benlloch, Valencia, España.

出版信息

Med Clin (Barc). 2007 Jul 7;129(6):209-12. doi: 10.1157/13107918.

DOI:10.1157/13107918
PMID:17678601
Abstract

BACKGROUND AND OBJECTIVE

To evaluate the arterial hypertension (AHT) prevalence in a wide sample of immigrant patients.

PATIENTS AND METHOD

A transversal and multicentric study that has included immigrant patients aged 18 years or more, consecutive sampling recruitment in primary healthcare consultations. The patient was defined with AHT hypertension when the average of 6 measurements in 3 visits (2 measurements per visit) was > or = 140 mmHg for the systolic blood pressure and/or 90 mmHg for diastolic blood pressure or if the patient had been previously diagnosed.

RESULTS

1,424 immigrants were followed-up (53.1% women) with average age (standard deviation) of 42.8 (13.1) years and mean stay in our country of 5.6 (5.7) years. Most of the patients' origin was Central and South America (40.2%) and Eastern Europe (21.9%). The prevalence of AHT was 31.4% (95% confidence interval [CI], 30.1-32.7%), of which the 62.1% where known patients. Patients coming from Asia showed a significant higher prevalence of AHT (40.0%; 95% CI, 38.7-41.3).

CONCLUSIONS

Three of each 10 immigrant patients have AHT. There are significant differences according to the gender, the origin and period of residence of these patients.

摘要

背景与目的

评估大量移民患者中动脉高血压(AHT)的患病率。

患者与方法

一项横向多中心研究,纳入了18岁及以上的移民患者,在初级医疗保健咨询中采用连续抽样招募。当3次就诊时6次测量值(每次就诊2次测量)的收缩压平均值≥140 mmHg和/或舒张压平均值≥90 mmHg,或患者先前已被诊断为高血压时,则定义该患者患有AHT。

结果

对1424名移民进行了随访(53.1%为女性),平均年龄(标准差)为42.8(13.1)岁,在我国的平均停留时间为5.6(5.7)年。大多数患者来自中美洲和南美洲(40.2%)以及东欧(21.9%)。AHT的患病率为31.4%(95%置信区间[CI],30.1 - 32.7%),其中62.1%为已知患者。来自亚洲的患者AHT患病率显著更高(40.0%;95%CI,38.7 - 41.3)。

结论

每10名移民患者中有3人患有AHT。这些患者在性别、来源和居住时间方面存在显著差异。

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