[基层医疗中随访的高血压患者心血管风险因素]
[Factors of cardiovascular risk for hypertensive patients followed during primary care].
作者信息
Ben Abdelaziz Ahmed, Elrafei Wassim, Gaha Khaled, Mandhouj Olfa, Ben Othman Aicha, Ghannem Hassen
机构信息
Service d'Epidémiologie, CHU Farhat Hached, Sousse, Tunisie.
出版信息
Tunis Med. 2008 Jul;86(7):643-8.
AIM
To describe the elements of cardiovascular risk in order to calculate global cardiovascular risk in primary care hypertensive patients in Sousse Tunisia.
METHODS
Cross sectional study including 456 hypertensive patients followed in 7 public health centers. Cardiovascular risk was assessed according the World Health Organization/International health society recommendations.
RESULTS
Average age was 65.6 +/- 9.8 years, Sex Ratio was 0.18. Sixth of the patients had at least three risk factors, the most frequent of them were getting advanced in years, mild hypertension and diabetes mellitus. Targer organ damages was showed in 13.8%; 8.3% presented an associated cardiovascular diseases. Cardiovascular risk was very high in about 20% of patients.
CONCLUSION
Primary care hypertensive patients show a heterogeneous cardiovascular risk. Patients with very high risk should be referred to specialists in order to benefit by a better care.
目的
描述心血管风险因素，以便计算突尼斯苏塞市基层医疗高血压患者的总体心血管风险。
方法
横断面研究，纳入了在7个公共卫生中心接受治疗的456例高血压患者。根据世界卫生组织/国际卫生协会的建议评估心血管风险。
结果
平均年龄为65.6±9.8岁，性别比为0.18。六分之一的患者至少有三个风险因素，其中最常见的是年龄增长、轻度高血压和糖尿病。13.8%的患者出现靶器官损害；8.3%的患者患有相关心血管疾病。约20%的患者心血管风险极高。
结论
基层医疗高血压患者的心血管风险存在异质性。风险极高的患者应转诊至专科医生处，以便获得更好的治疗。
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