Parkin D M, Kellett R J, MacLean D W, Ryan M P, Fulton M
J R Coll Gen Pract. 1979 Oct;29(207):590-4.
We investigated the management of a group of 322 hypertensive patients by 71 general practitioners in the Lothian Health Board Area by a survey of the general practitioners' records. Eighty-five per cent of patients were diagnosed by the general practitioner and 57 per cent were cared for entirely by him. Two thirds of the patients were women. Hospital referral was more common in men and in patients with high initial blood pressures. One third of patients had only one blood pressure recorded before treatment. The result of treatment as measured by the latest diastolic blood pressure was similar for patients treated by the general practitioner and those referred to hospital, being 100 mm Hg or less in 77 per cent of patients.
我们通过对全科医生记录的调查，研究了洛锡安健康委员会地区71名全科医生对一组322名高血压患者的管理情况。85%的患者由全科医生诊断，57%的患者完全由其照料。三分之二的患者为女性。男性患者和初始血压较高的患者更常被转诊至医院。三分之一的患者在治疗前仅记录了一次血压。以最新舒张压衡量的治疗结果，全科医生治疗的患者与转诊至医院的患者相似，77%的患者舒张压为100毫米汞柱或更低。
