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2018年5月测量月:阿曼血压筛查结果分析

May Measurement Month 2018: an analysis of blood pressure screening results from Oman.

作者信息

Nadar Sunil K, Al-Riyami Hassan, Al-Riyami Adil, Al-Lawati Hatim, Panakkal Benny, Mohammed Shafeek, Nagaraju G B, Sharma S N, Abdulkader Muhamed M, Beaney Thomas, Ster Anca Chis, Poulter Neil R

机构信息

Department of Medicine, Sultan Qaboos University Hospital, Muscat, 123, Oman.

Department of Medicine, Badar Al-Samaa Hospital, Ruwi, Muscat, Oman.

出版信息

Eur Heart J Suppl. 2020 Aug;22(Suppl H):H100-H103. doi: 10.1093/eurheartj/suaa039. Epub 2020 Aug 28.

Abstract

As per WHO estimates, around 17% of the adult Omani population are hypertensive. However, people with hypertension are often unaware of the diagnosis, and so the May Measurement Month (MMM) programme was set up to raise awareness of the importance of blood pressure (BP) screening. A cross-sectional screening of BP of subjects aged 18 years or more was carried out in May 2018 at various sites in Muscat, Oman. Screening sites were set up at the reception areas of participating hospitals, and at a few public areas such as shopping malls and workplaces of the volunteers. Blood pressure was measured according to a standardized protocol, and hypertension was defined as per the 2018 European Society of Hypertension guidelines. The data were analysed centrally by the MMM project team. A total of 12 689 individuals (mean age 40.6 ± 12.5 years, 72% male) were screened. The crude mean BP of the second and third readings (where three readings were taken,  = 4 738) was 127.1/79.2 mmHg. After multiple imputations, the average age and sex standardized BP was 127.3/80.2 mmHg. Of all participants, 29.8% had hypertension. There were 1 983 patients with a previous diagnosis of hypertension, of whom 1 810 were on antihypertensive medication. A further 1 973 subjects were newly diagnosed with hypertension. Of those on antihypertensive medication, 34.9% had uncontrolled BP readings. Screening programmes such as MMM are useful to identify persons with undiagnosed hypertension. However, more educational activities are required to increase the public awareness regarding the dangers of hypertension.

摘要

根据世界卫生组织的估计,阿曼约17%的成年人口患有高血压。然而,高血压患者往往未意识到自己的病情,因此设立了“五月测量月”(MMM)项目,以提高人们对血压筛查重要性的认识。2018年5月,在阿曼马斯喀特的多个地点对18岁及以上的受试者进行了血压横断面筛查。筛查地点设在参与医院的接待区,以及一些公共场所,如购物中心和志愿者工作场所。血压测量按照标准化方案进行,高血压的定义依据2018年欧洲高血压学会指南。数据由MMM项目团队集中分析。共筛查了12689人(平均年龄40.6±12.5岁,72%为男性)。第二次和第三次读数(共进行三次读数,n = 4738)的粗略平均血压为127.1/79.2 mmHg。多次插补后,年龄和性别标准化平均血压为127.3/80.2 mmHg。所有参与者中,29.8%患有高血压。有1983名患者此前已被诊断为高血压,其中1810人正在服用降压药。另有1973名受试者新诊断为高血压。在服用降压药的患者中,34.9%的血压读数未得到控制。像MMM这样的筛查项目有助于识别未被诊断出高血压的人群。然而,需要开展更多教育活动,以提高公众对高血压危害的认识。

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本文引用的文献

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Spotlight on hypertension in the Indian subcontinent.聚焦印度次大陆的高血压问题。
J Hum Hypertens. 2019 Aug;33(8):559-561. doi: 10.1038/s41371-019-0216-9. Epub 2019 Jul 3.
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Lancet Glob Health. 2018 Jul;6(7):e736-e743. doi: 10.1016/S2214-109X(18)30259-6. Epub 2018 May 16.

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