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2017年5月测量月计划期间在越南(东南亚和澳大拉西亚地区)开展的血压筛查。

Blood pressure screening during the May Measurement Month 2017 programme in Vietnam-South-East Asia and Australasia.

作者信息

Van Minh Huynh, Viet Nguyen Lan, Sinh Cao Thuc, Hung Phan Nam, Mong Ngoc Nguyen Thi, Hung Ngo Van, Son Tran Kim, Đong Nguyen Ta, Thang Đoan Chi, Tien Hoang Anh, Tuan Hoang Cong, Beaney Thomas, Xia Xin, Poulter Neil R, Schlaich Markus P

机构信息

Department of Cardiology, Hue University Hospital, Hue University, 6 NgoQuyen Street, No 41 Nguyen Hue road, Huecity, Vietnam.

Department of Cardiology, Vietnam Heart Institute, No 1 Ton that Tung, Hanoi, Vietnam.

出版信息

Eur Heart J Suppl. 2019 Apr;21(Suppl D):D127-D129. doi: 10.1093/eurheartj/suz076. Epub 2019 Apr 24.

Abstract

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programmes worldwide. Our aim was to screen for hypertension (HTN) and cardiovascular risk factors in people aged ≥18 years in the community, thereby define the proportion of subjects with elevated BP and assess the awareness and the effectiveness of its treatment. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2017. Blood pressure measurement, the definition of HTN and statistical analysis followed the standard MMM protocol. From May 2017 to June 2017, through 10 cities/provinces in Vietnam, 10 993 individuals with mean age 49.1 ± 16.2 years were screened during MMM17. After multiple imputation, 3154 (28.7%) had HTN. Of individuals not receiving antihypertensive medication, 1509 (16.1%) were hypertensive. Of individuals receiving antihypertensive medication, 620 (37.7%) had uncontrolled BP. Raised BP was also associated with additional risk factors including smoking, alcohol, overweight-obesity, and diabetes. May Measurement Month 17 was the largest BP screening campaign ever undertaken in Vietnam. Undiagnosed and uncontrolled HTN in Vietnam remains a substantial health problem. Local campaigns applying standardized methods such as MMM17, will be highly useful to screen for the significant number of individuals with raised BP and increase the awareness of HTN.

摘要

高血压是全球日益沉重的负担,每年导致超过1000万人死亡。五月测量月(MMM)是一项全球倡议,旨在提高对高血压的认识,并作为全球筛查项目不足的临时解决方案。我们的目的是在社区中筛查≥18岁人群的高血压(HTN)和心血管危险因素,从而确定血压升高的受试者比例,并评估其知晓率和治疗效果。2017年5月对≥18岁的志愿者进行了一项机会性横断面调查。血压测量、高血压的定义和统计分析遵循标准的MMM方案。2017年5月至2017年6月,通过越南的10个城市/省份,在MMM17期间筛查了10993名平均年龄为49.1±16.2岁的个体。经过多重插补,3154人(28.7%)患有高血压。在未接受抗高血压药物治疗的个体中,1509人(16.1%)患有高血压。在接受抗高血压药物治疗的个体中,620人(37.7%)血压未得到控制。血压升高还与其他危险因素有关,包括吸烟、饮酒、超重肥胖和糖尿病。2017年五月测量月是越南有史以来规模最大的血压筛查活动。越南未诊断和未控制的高血压仍然是一个严重的健康问题。采用MMM17等标准化方法开展的当地活动,对于筛查大量血压升高的个体和提高对高血压的认识将非常有用。

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