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埃及的高血压:一项系统评价。

Hypertension in Egypt: a systematic review.

作者信息

Hasan Doaa M, Emeash Aya H, Mustafa Sara B, Abdelazim Galal Eldin A, El-din Aya Alaa

出版信息

Curr Hypertens Rev. 2014;10(3):134-41. doi: 10.2174/1573402111666141217111807.

Abstract

BACKGROUND

With 29% of the world’s adult population projected to have hypertension by the year 2025, prevention and management of hypertension have become a public health priority. Hypertension also referred to as high blood pressure, in which the arteries have persistent high blood pressure. This results in a condition where the heart has to work harder than normal to flow blood through the vessels. A few years ago, there was no sufficient information about the epidemiology of hypertension, treatment protocols and its consequences in Egypt. Lately, there has been a major change in health system in Egypt, including research development.

OBJECTIVES

To evaluate the existing data on prevalence, levels of awareness, treatment and control of hypertension in Egypt with a view of suggestive actions that could enhance control of hypertension and improve quality of life of the patients.

METHODS

Six databases (Pub Med, Cochrane, MEDLINE, Sciencedirect, MedEase, Embase) were searched in November 2013, applying the following criteria: published from January 1995 to November 2013 written in English and carried out on human subjects.

RESULTS

21 studies were included in the systematic review of the prevalence, awareness, and control of hypertension in Egypt. The sample size ranged from 27 subjects to 12008 subjects, and the age range from 6-95 years. Every study had both male and female representatives. In most of the studies, the women were more than the men.

CONCLUSION

There are declines in the levels of awareness of hypertension and even lower levels of control. Research is required to reveal reasons behind these near to the ground levels of control and treatment, and especially awareness, in order to put in the picture policy for the improvement of quality of life of hypertensive patients in Egypt.

摘要

背景

预计到2025年,全球29%的成年人口将患有高血压,因此高血压的预防和管理已成为公共卫生的重点。高血压也被称为高血压症,即动脉血压持续偏高。这会导致心脏需要比正常情况更努力地工作才能使血液在血管中流动。几年前,埃及缺乏关于高血压流行病学、治疗方案及其后果的充分信息。最近,埃及的卫生系统发生了重大变化,包括研究的发展。

目的

评估埃及高血压患病率、知晓率、治疗率和控制率的现有数据,以期提出可加强高血压控制并改善患者生活质量的建议措施。

方法

2013年11月检索了六个数据库(PubMed、Cochrane、MEDLINE、Sciencedirect、MedEase、Embase),应用以下标准:1995年1月至2013年11月发表的英文文献且研究对象为人类。

结果

21项研究纳入了对埃及高血压患病率、知晓率和控制率的系统评价。样本量从27名受试者到12008名受试者不等,年龄范围为6至95岁。每项研究都有男性和女性代表。在大多数研究中,女性多于男性。

结论

高血压知晓率有所下降,控制率更低。需要开展研究以揭示这些接近实际控制和治疗水平、尤其是知晓率低的背后原因,以便制定提高埃及高血压患者生活质量的政策。

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