Kronborg Christel N, Hallas Jesper, Jacobsen Ib A
Department of Internal Medicine C, Odense University Hospital, Odense, Denmark.
J Am Soc Hypertens. 2009 Jan-Feb;3(1):19-24.e2. doi: 10.1016/j.jash.2008.08.001. Epub 2008 Oct 31.
Hypertension is an important modifiable risk factor for cardiovascular disease. Risk is reduced by reduction of blood pressure (BP). The present survey estimated the prevalence of hypertension, awareness, treatment, and BP control in Denmark. BP was measured three times on one occasion in a representative sample (n = 7,767) of the Danish population ages 20 to 89 years. Persons with screening BP >/=140/90 mm Hg also measured BP at home. Participants with home BP >/=135/85 mm Hg in general and >/=125/75 mm Hg for patients with diabetes or renal disease were categorized as hypertensive together with those already on antihypertensive treatment. Awareness was registered by questionnaire. Treated patients with BP below relevant limits were categorized as controlled. Age-adjusted prevalence of hypertension was on the basis of screening BP 25.7% and by home BP 22.3%. Seventy-two percent of patients found hypertensive by home BP were aware of it, 64% were treated, and 57% of those treated were controlled by office BP and 68% by home BP. One-fifth of the adult Danish population was found to be hypertensive, Awareness and control of hypertension was better than in most previous reports. Control rates similar to those of clinical trials are achievable in clinical practice.
高血压是心血管疾病一个重要的可改变风险因素。通过降低血压可降低风险。本次调查估计了丹麦高血压的患病率、知晓率、治疗率及血压控制情况。在丹麦20至89岁具有代表性的样本(n = 7,767)中,一次性测量三次血压。筛查血压≥140/90 mmHg的人还在家中测量血压。一般来说,家庭血压≥135/85 mmHg以及糖尿病或肾病患者家庭血压≥125/75 mmHg的参与者与已接受抗高血压治疗的患者一起被归类为高血压患者。通过问卷调查记录知晓情况。血压低于相关限值的接受治疗患者被归类为血压得到控制。基于筛查血压的年龄调整后高血压患病率为25.7%,基于家庭血压的为22.3%。通过家庭血压检测出高血压的患者中,72%知晓自己患病,64%接受了治疗,接受治疗的患者中,57%的患者诊室血压得到控制,68%的患者家庭血压得到控制。丹麦五分之一的成年人口被发现患有高血压,高血压的知晓率和控制率优于大多数以往的报告。在临床实践中可以实现与临床试验相似的控制率。