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2017 - 2019年5月测量月:香港一项全社区机会性血压筛查活动

May Measurement Month 2017-2019: A Community-Wide Opportunistic Blood Pressure Screening Campaign in Hong Kong.

作者信息

Li Joyce Tik Sze, Lam Amy Shuk Man, Tomlinson Brian, Lee Vivian Wing Yan

机构信息

Centre for Learning Enhancement and Research, The Chinese University of Hong Kong, 502, Hui Yeung Shing Building, Shatin, Hong Kong.

Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.

出版信息

Int J Hypertens. 2021 Jan 16;2021:8891794. doi: 10.1155/2021/8891794. eCollection 2021.

Abstract

INTRODUCTION

Hypertension is a modifiable risk factor for multiple cardiovascular diseases. Early identification and intervention of new cases are crucial to improve patients' outcomes. May Measurement Month (MMM) is an annual global synchronised blood pressure (BP) screening campaign. Participants can have their BP measured at the screening sites. It may be a possible way to identify undiagnosed hypertensive patients in the population.

METHODS

It was a cross-sectional study of BP among Hong Kong adults. Multiple screening sites were set in local community pharmacies and on the campus of the Chinese University of Hong Kong. Participants were asked to fill in a questionnaire regarding their demographics, medical history, and social history. Then, they took at least one BP reading using an automated sphygmomanometer after sitting at for 5 minutes. Up to three BP readings were taken and recorded for each participant, with one-minute intervals between readings.

RESULTS

A total of 3224 adults participated in MMM between 2017 and 2019. The average BP among the 3224 participants was 139.8/75.5 mmHg. The prevalence of hypertension was 2282 (70.8%), of which 635 (27.8%) were undiagnosed before MMM. Among the 1647 participants previously diagnosed with hypertension, 1007 (61.1%) had uncontrolled hypertension.

CONCLUSION

A high number of cases can be identified with untreated, or treated but uncontrolled, hypertension from MMM. Citizens should be encouraged to check BP regularly and take follow-up actions if hypertension is suspected.

摘要

引言

高血压是多种心血管疾病的可改变风险因素。新病例的早期识别和干预对于改善患者预后至关重要。五月测量月(MMM)是一项年度全球同步血压筛查活动。参与者可在筛查地点测量血压。这可能是识别未确诊高血压患者的一种可行方法。

方法

这是一项针对香港成年人血压的横断面研究。在当地社区药房和香港中文大学校园设置了多个筛查地点。要求参与者填写一份关于其人口统计学、病史和社会史的问卷。然后,他们在静坐5分钟后使用自动血压计至少测量一次血压。每位参与者最多测量并记录三次血压,每次测量间隔一分钟。

结果

2017年至2019年期间共有3224名成年人参与了五月测量月活动。3224名参与者的平均血压为139.8/75.5 mmHg。高血压患病率为2282例(70.8%),其中635例(27.8%)在五月测量月之前未被诊断。在之前被诊断为高血压的1647名参与者中,1007例(61.1%)患有未控制的高血压。

结论

通过五月测量月活动可以识别出大量未经治疗、或已治疗但未得到控制的高血压病例。应鼓励市民定期检查血压,若怀疑患有高血压则采取后续行动。

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