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[大规模预防动脉高血压的可能性、困难与前景]

[Possibilities, difficulties and prospects for mass prevention of arterial hypertension].

作者信息

Britov A N, Konstantinov E N, Nikulina L S, Sapozhnikov I I, Gundarov I A

出版信息

Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1985;8(2):88-92.

PMID:4063087
Abstract

The article reflects the results of five-year secondary and primary prevention of arterial hypertension among the workers of a large automobile plant. Secondary prevention of arterial hypertension is an important means of reducing arterial hypertension complications and mortality (the overall mortality went down by 20%, and brain stroke morbidity was 70% lower in the intervention population than in the comparison one). Besides, the search and implementation of the methods of primary prevention of arterial hypertension constitutes the main perspective of the scientific and practical solution of the problem on the population level, as non-drug intervention normalized arterial blood pressure in 70% of subjects with mild hypertension. Thus, arterial hypertension is a complex medico-social problem, the solution of which depends on the fulfillment of equally important medical and socio-cultural tasks.

摘要

本文反映了一家大型汽车厂工人动脉高血压五年二级和一级预防的结果。动脉高血压的二级预防是降低动脉高血压并发症和死亡率的重要手段(干预人群的总死亡率下降了20%,中风发病率比对照人群低70%)。此外,寻找和实施动脉高血压一级预防方法是在人群层面科学和实际解决该问题的主要方向,因为非药物干预使70%轻度高血压患者的动脉血压恢复正常。因此,动脉高血压是一个复杂的医学社会问题,其解决取决于同等重要的医学和社会文化任务的完成。

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