家庭医生在高血压筛查和管理中的效果。
Effectiveness of the family physician in hypertension screening and management.
出版信息
Can Fam Physician. 1982 Feb;28:255-8.
As the initial step of a large randomized trial to test a new strategy of caring for hypertensive patients, the state of blood pressure screening was studied in 34 community-based family practices in southwestern Ontario. The charts of all active adult patients, 20-65 years of age, were reviewed.At least one blood pressure reading was recorded in the last five years for 71% of the 40,453 patients. The proportion of patients screened increased with age; in each age group, a greater proportion of females than males had been screened. Overall, 8.9% of males and 9.6% of females were labelled hypertensive. The rate of patients so labelled increased with age to a maximum of 30% of the 55-65 age group. More than 50% of patients with diastolic pressures over 105 mm Hg were not taking hypotensive drugs.
作为一项大型随机试验的初始步骤，该试验旨在测试一种新的高血压患者护理策略，我们研究了安大略省西南部 34 家社区基层医疗诊所的血压筛查情况。我们查阅了所有年龄在 20-65 岁之间的活跃成年患者的病历。在 40453 名患者中，有 71%的患者在过去五年中至少有一次血压记录。接受筛查的患者比例随年龄增长而增加；在每个年龄组中，接受筛查的女性比例均高于男性。总体而言，8.9%的男性和 9.6%的女性被标记为高血压患者。被标记为高血压患者的比例随年龄增长而增加，在 55-65 岁年龄组中达到了 30%的最大值。超过 50%的舒张压超过 105mmHg 的患者未服用降压药物。
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