Gutzwiller F, Bühler F R
MMW Munch Med Wochenschr. 1978 Mar 31;120(13):427-30.
The magnitude of the problem of hypertension is reflected in figures from the United States and Europe: with an incidence of about 15% of hypertensives in the adult population, about 1/3 of these individuals are unrecognized, a further third are indeed recognized but only inadequately treated or not at all, and only 1/3 are being satisfactorily treated. For this reason, not only the detection of unrecognized hypertensives must be dealt with, but also the problem of longterm supervision must be gone into at the same time. Were the adult population of the Federal Republic of Germany to be included in a "filter" investigation, about 3 million confirmed untreated hypertensives would have to be examined further and possibly treated. Also in an investigation of much smaller extent, the question of efficiency and tolerance must be raised.
在成年人口中,高血压发病率约为15%,其中约三分之一的患者未被确诊,另有三分之一虽已确诊但治疗不充分或根本未接受治疗,只有三分之一得到了满意的治疗。因此,不仅要解决未被确诊的高血压患者的检测问题,还必须同时深入研究长期监测问题。如果将德意志联邦共和国的成年人口纳入“筛选”调查,约300万确诊的未治疗高血压患者将需要进一步检查并可能接受治疗。即使在规模小得多的调查中,也必须提出效率和耐受性的问题。