Jelinek Herbert, Kolbe Cherryl, Wang Lexin, Oxbrow Doug
Charles Sturt University, Albury, Australia. hjelinek@ csu.edu.au
Clin Exp Hypertens. 2008 Jul;30(5):359-66. doi: 10.1080/10641960802275064.
High blood pressure leads to greater risk of cardiovascular disease morbidity and mortality. Our aim was to determine the prevalence of hypertension in a cohort of people attending a rural university health screening program in response to community advertisements. In all, 674 individuals attended the screening program at our university health clinic in Albury. The presence and treatment of diagnosed hypertension were reported by 37.3% of participants. Antihypertensive medications were used in 42.9% of the known hypertensives, and fewer than half of these patients on antihypertensive agents achieved a normal blood pressure. New hypertension in accordance with the AusDiab criteria that is not diagnosed and treated was identified in 20.8% of participants. We conclude that the rates of antihypertensive treatment were low in this rural population, and that in those who were treated, a large portion still remained hypertensive. The management and monitoring of hypertension in this rural community needs to be improved to capture the additional people with hypertension and to reduce blood pressure to recommended levels.
高血压会导致心血管疾病发病和死亡风险增加。我们的目的是确定在一个因社区广告而参加农村大学健康筛查项目的人群队列中高血压的患病率。共有674人在我们位于阿尔伯里的大学健康诊所参加了筛查项目。37.3%的参与者报告了已诊断高血压的存在及治疗情况。已知高血压患者中有42.9%使用了抗高血压药物，而这些服用抗高血压药物的患者中只有不到一半的人血压恢复正常。根据澳大利亚糖尿病、肥胖和生活方式研究（AusDiab）标准，在20.8%的参与者中发现了未被诊断和治疗的新发高血压。我们得出结论，该农村人群的抗高血压治疗率较低，而且在接受治疗的人群中，很大一部分人仍然患有高血压。需要改善这个农村社区高血压的管理和监测，以发现更多高血压患者，并将血压降至推荐水平。
