高血压筛查项目
Screening programs for hypertension.
作者信息
Genest J, Kuchel O, Leduc G, Granger P, Boucher R, Rojo-Ortega J M, Nowaczynski W
出版信息
Can Med Assoc J. 1974 Jul 20;111(2):147-9.
MAJOR SCREENING PROGRAMS FOR HYPERTENSION ARE NECESSARY FOR THE FOLLOWING REASONS
(a) the 12 to 15% prevalence of hypertension in the North American population; (b) the high proportion of hypertensive patients who are inadequately treated or whose disease is not even recognized; (c) the fact that in too many medical centres hypertension is poorly investigated or considered an insignificant finding; (d) the demonstration by many groups, especially the Framingham study, of hypertension as the major factor in the occurrence of severe cardiovascular disease; and (e) the achievement of a marked decrease in severe cardiovascular complications following adequate treatment. But such screening programs are of little value if unaccompanied by a major educational effort directed not only to the public but also to the medical profession, and a parallel increase in the funding of biomedical research into the basic physiopathological mechanisms of hypertension.
开展高血压大规模筛查项目很有必要，原因如下：(a) 北美人群中高血压患病率为12%至15%；(b) 很大一部分高血压患者治疗不充分或甚至未被诊断出患有此病；(c) 在太多医疗中心，高血压的检查不够充分或被视为无足轻重的发现；(d) 许多研究团队，尤其是弗明汉姆研究，证明高血压是严重心血管疾病发生的主要因素；(e) 充分治疗后严重心血管并发症显著减少。但是，如果没有针对公众和医疗行业的大规模教育努力，以及同时增加对高血压基本生理病理机制的生物医学研究资金投入，这样的筛查项目价值不大。
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