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提库尔·安贝萨医院收治的高血压患者并发症模式:一项回顾性分析。

PATTERNS OF COMPLICATIONS SEEN IN PATIENTS WITH HYPERTENSION ADMITTED TO TIKUR ANBESSA HOSPITAL: A RETROSPECTIVE ANALYSIS.

作者信息

Worku Tewodros, Tadesse Yewondwossen, Hughes Patrick, Lemessa Teklu

出版信息

Ethiop Med J. 2015 Jul;Suppl 2:51-6.

Abstract

BACKGROUND

Complications due to undetected and uncontrolled hypertension have been recorded to be devastating. Among these are cerebrovascular, cardiovascular and renal complications. Lack of data on the patterns of these complications, combined with the notion that hypertension is only a problem of developed nations, has resulted in missed opportunities for early detection and treatment.

METHOD

A retrospective cross-sectional study was performed through medical chart review of 106 hypertension patients who were admitted with complications of hypertension at Tikur Anbessa Specialized Hospital from Januaty 2013 to January 2014 E.C.

RESULTS

A total of 106 medical charts of hypertensive patients were reviewed. Among the patients involved in the study, 51% were male, 45% were in their fifth and sixth decades and two third of them did not have any co morbidity. Sixty seven percent of these patients had cerebrovascular disease (stroke), 11% had stroke and hypertensive heart disease, 8% had stroke, hypertensive heart disease and chronic kidney disease (all three), and 5% had stroke with chronic kidney disease. However, there was no significant association between the considered variables and the outcome.

CONCLUSION

This study has revealed most of the patients have stroke as a complication, therefore preventive or prophylactic measures should be encouraged to avail it.

摘要

背景

未被发现和控制的高血压所导致的并发症已被记录为具有毁灭性。其中包括脑血管、心血管和肾脏并发症。缺乏关于这些并发症模式的数据,再加上认为高血压只是发达国家的问题这一观念,导致了早期检测和治疗的机会错失。

方法

通过对2013年1月至2014年1月在提库尔·安贝萨专科医院因高血压并发症入院的106例高血压患者的病历进行回顾,开展了一项回顾性横断面研究。

结果

共审查了106例高血压患者的病历。参与研究的患者中,51%为男性,45%处于第五和第六个十年,其中三分之二没有任何合并症。这些患者中,67%患有脑血管疾病(中风),11%患有中风和高血压性心脏病,8%患有中风、高血压性心脏病和慢性肾脏病(三者皆有),5%患有中风合并慢性肾脏病。然而,所考虑的变量与结果之间没有显著关联。

结论

本研究表明,大多数患者的并发症是中风,因此应鼓励采取预防或预防性措施以避免中风。

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