Phillips S J, Whisnant J P, O'Fallon W M, Hickman R D
Cerebrovascular Research Center, Iowa State University, Ames.
Mayo Clin Proc. 1988 Jul;63(7):691-9. doi: 10.1016/s0025-6196(12)65531-1.
To determine the prevalence and control of hypertension in the adult population of Rochester, Minnesota, a blood pressure survey was conducted among a stratified random sample of 2,122 subjects 35 years of age or older. Hypertension--defined as a history of hypertension or a systolic pressure of 160 mm Hg or more, a diastolic pressure of 95 mm Hg or more, or both at the time of interview--was found in 663 subjects (31%). Among these hypertensive subjects, 82 (12%) had no prior history of hypertension. Of the 581 subjects with a history of hypertension, 447 (77%) were taking antihypertensive medication, 127 (22%) had a systolic pressure of 160 mm Hg or more, a diastolic pressure of 95 mm Hg or more, or both, and 288 (50%) had a systolic pressure of 140 mm Hg or more, a diastolic pressure of 90 mm Hg or more, or both. Of the treated patients with hypertension, 75% were taking a diuretic either alone or in combination with one or more other agents. Side effects of therapy were reported by 12% of subjects taking antihypertensive medication.
为确定明尼苏达州罗切斯特市成年人群中高血压的患病率及控制情况,我们对2122名35岁及以上的分层随机抽样对象进行了血压调查。高血压定义为有高血压病史,或在访谈时收缩压达到或超过160毫米汞柱,舒张压达到或超过95毫米汞柱,或两者兼有。在663名对象(31%)中发现患有高血压。在这些高血压患者中,82人(12%)既往无高血压病史。在581名有高血压病史的对象中,447人(77%)正在服用抗高血压药物,127人(22%)收缩压达到或超过160毫米汞柱,舒张压达到或超过95毫米汞柱,或两者兼有,288人(50%)收缩压达到或超过140毫米汞柱,舒张压达到或超过90毫米汞柱,或两者兼有。在接受治疗的高血压患者中,75%单独服用利尿剂或与一种或多种其他药物联合使用。12%服用抗高血压药物的对象报告了治疗的副作用。