私人诊所中的血压控制：病例报告。
Blood pressure control in private practice: a case report.
作者信息
Engelland A L, Alderman M H, Powell H B
出版信息
Am J Public Health. 1979 Jan;69(1):25-9. doi: 10.2105/ajph.69.1.25.
High blood pressure is most commonly treated in the offices of private physicians. We have attempted to evaluate the efficacy of such care through review of all patient charts of a Board Certified, University Medical Center affiliated internist in New York City. Seventeen per cent had elevated (greater than or equal to 160/95) blood pressures or were taking antihypertensive medication at the time of their last visit. A selected group of 206 charts was examined to determine attendance and blood pressure outcome. Over one-half of these patients were lost to follow-up within a year of their initial visit. Of those who persisted in therapy, 55 per cent achieved good blood pressure control. Blood pressure outcomes among medicated patients were not different from those of patients who received no prescription. These results suggest that this conventional pattern of ambulatory medical care, characterized by a high attrition rate and a failure to adequately control blood pressure, may not be suitable to the long-term management of high blood pressure.
高血压最常见于私人医生的诊所中进行治疗。我们试图通过查阅纽约市一家经委员会认证的大学医学中心附属内科医生的所有患者病历，来评估这种治疗的效果。17%的患者血压升高（大于或等于160/95），或在最后一次就诊时正在服用抗高血压药物。选取了206份病历进行检查，以确定就诊情况和血压结果。这些患者中有超过一半在初次就诊后的一年内失访。在坚持治疗的患者中，55%的患者血压得到了良好控制。服用药物患者的血压结果与未接受处方治疗的患者并无差异。这些结果表明，这种以高失访率和未能充分控制血压为特征的传统门诊医疗模式，可能不适用于高血压的长期管理。
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