McClellan W, Neel J, Owen S
Division of Hypertension, Emory School of Medicine, Emory University, Atlanta, Georgia.
Am J Hypertens. 1989 Nov;2(11 Pt 1):869-71. doi: 10.1093/ajh/2.11.869.
We have conducted a random probability survey of primary care physicians (n = 477) to examine the factors which might influence the level of diastolic blood pressure (DBP) felt by physicians to warrant antihypertensive drug therapy in young adults. Of the responding physicians, 18.4% reported treating young adults who had a DBP of less than 90 mm Hg. This practice was correlated with physician opinions about the efficacy of hypertension treatment and the reported influence of pharmaceutical representatives on physician practice. We conclude that reported therapy of DBP less than 90 mm Hg in young adults is highly prevalent. Such therapy is correlated with physician opinions as well as the perceived influence of pharmaceutical sources of information.
我们对基层医疗医生（n = 477）进行了一项随机概率调查，以研究可能影响医生认为年轻成年人舒张压（DBP）水平需要进行抗高血压药物治疗的因素。在做出回应的医生中，18.4%报告曾治疗过舒张压低于90毫米汞柱的年轻成年人。这种做法与医生对高血压治疗疗效的看法以及医药代表对医生诊疗行为的报告影响相关。我们得出结论，报告的对年轻成年人舒张压低于90毫米汞柱进行治疗的情况非常普遍。这种治疗与医生的看法以及信息来源中医药渠道的感知影响相关。
