Ike S O
Department of Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.
Niger J Med. 2009 Jan-Mar;18(1):68-72.
To evaluate the prevalence pattern of hypertension and its complications among medical admissions and compare the findings with those of a previous study conducted at the University of Nigeria Teaching Hospital, Enugu.
A review of all the admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu, between December 1998 and November 2003, was done.
Of the 7399 patients admitted during the period, 1360 (18.4%) had hypertension related diseases. These were 798 (58.7%) males and 562 (41.3%) females, giving a male: female ratio of 1.4:1. There was a progressive increase in the age-specific prevalence of hypertension cases with advancing age, but presenting with only 6 (0.4%) patients in the over 90 years age group. Hypertensive congestive heart failure accounted for 26.5% of the cases and 46.1% of the hypertensive complications. Myocardial infarction was documented in 7 patients. Hypertension with its complications, contributed more than two thirds (69.6%) of the cardiovascular system admissions.
The prevalence of hypertension, with its complications, is increasing, when compared with a previous study. This calls for a multifaceted approach aimed at ensuring the achievement of better blood pressure control, so as to obviate the attendant complications.
评估内科住院患者中高血压及其并发症的流行模式，并将结果与之前在尼日利亚大学教学医院（埃努古）进行的一项研究结果进行比较。
对1998年12月至2003年11月期间尼日利亚大学教学医院（埃努古）内科病房的所有住院患者进行回顾性研究。
在此期间收治的7399例患者中，1360例（18.4%）患有高血压相关疾病。其中男性798例（58.7%），女性562例（41.3%），男女比例为1.4:1。随着年龄增长，高血压病例的年龄别患病率呈逐渐上升趋势，但90岁以上年龄组仅有6例（0.4%）患者。高血压性充血性心力衰竭占病例的26.5%，占高血压并发症的46.1%。有7例记录为心肌梗死。高血压及其并发症占心血管系统住院患者的三分之二以上（69.6%）。
与之前的研究相比，高血压及其并发症的患病率正在上升。这需要采取多方面的措施，以确保更好地控制血压，从而避免随之而来的并发症。
