Zwingenberger W, Faulhaber H D, Schneider R, Nestler K
Gesundheitswesen Wismut, Akademie der Wissenschaften der DDR Berlin-Buch.
Z Gesamte Inn Med. 1989 Apr 1;44(7):211-4.
On account of the active and passive selection conditioned by demands of fitness the prevalence of hypertension is 8.0% in the branch of industry Wismut. It shows a clear increase in the 4th decennium, in these cases there is a higher prevalence of hypertension in males younger than 40 years than in females of the same age, after the 40th year of age the relation inverts itself. The mild hypertension prevails (degree of severity I of hypertension according to WHO) with 87.8%. By a representative chance control in a proportion of 5,150 employees the determination of the degree of knowledge of hypertensive patients was nearly 100% and the degree of recognition in the dispensary of the works medical officer was 64.2%. The quality of the control of high blood pressure was investigated according to the random principle in 1,714 workers with hypertension. 36.6% of the patients with hypertension had values of blood pressure lower than 160/95 Hg, in 40.5% the blood pressure values were systolically in the region from 160 to 180 mm Hg and/or diastolically 95 to 105 mm Hg, in 22.9% systolically more than 180 mm Hg and diastolically more than 105 mm Hg, respectively. Forms of therapy, cardiovascular risk factors and influences of the working environment were by means of the factor analysis and the discrimination analysis investigated as to their influence on the quality of the control of high blood pressure and adequate conclusions were drawn.
由于健康需求所导致的主动和被动选择,在维斯穆特工业部门中,高血压患病率为8.0%。在第四个十年中,患病率呈明显上升趋势。在这些案例中,40岁以下男性的高血压患病率高于同年龄段女性,40岁以后这种关系则发生逆转。轻度高血压占主导(根据世界卫生组织的高血压严重程度分级为I级),占比87.8%。通过对5150名员工进行具有代表性的随机对照研究发现,高血压患者的知晓率接近100%,而工厂医务人员在诊疗所的识别率为64.2%。按照随机原则对1714名高血压工人的高血压控制质量进行了调查。36.6%的高血压患者血压值低于160/95毫米汞柱,40.5%的患者收缩压在160至180毫米汞柱之间和/或舒张压在95至105毫米汞柱之间,22.9%的患者收缩压高于180毫米汞柱且舒张压高于105毫米汞柱。通过因子分析和判别分析,研究了治疗方式、心血管危险因素及工作环境对高血压控制质量的影响,并得出了适当的结论。