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10年观察期内高血压的行为及高血压患者的心血管检查结果(武尔岑研究,1961 - 1971年)

[Behavior of hypertension and cardiovascular findings in hypertension within an observation period of 10 years (the Wurzen study 1961-1971)].

作者信息

Raue I, Sauer I, Hackel F, Waage A, Löschke B, Dost G

出版信息

Z Gesamte Inn Med. 1978 Mar 1;33(5):137-41.

PMID:645145
Abstract

In concert with literary data during a mass X-ray examination in 1961 we established in 5,517 men of the district Wurzen a frequency of hypertension of 13.6% and in 1971 in the same group of test persons a frequency of hypertension of 19.4%. The percentage of the pathological cardiovascular X-ray findings was in normotonus 10.4% in 1961 and 11.2% in 1971, in hypertension 22.3% in 1961 and 27.5% in 1971. The dependence on the age of the test persons, on the degree of severity of hypertension, and particularly on the duration of the hypertension is clear. For prevention of a hypertensive heart disease the early recognition of a hypertension and an early therapy are necessary. On the basis of our studies the making of cardiovascular X-ray findings from photofluorograms is not suitable as screening test for the hypertension. The value of blood pressure controls in mass X-ray examinations must be emphasized. Important is the collection of cardiovascular X-ray findings from photofluorograms of the thorax for the establishment of a hypertensive heart disease, of not recognized vitia and age-conditioned cardiac and vascular changes. It implies an optimum use of the material collected in the mass X-ray examination.

摘要

1961年,在对乌尔岑地区5517名男性进行大规模X光检查时,结合文献数据,我们发现该地区高血压发病率为13.6%;1971年,在同一组受测者中,高血压发病率为19.4%。1961年血压正常者的病理性心血管X光检查结果百分比为10.4%,1971年为11.2%;高血压患者在1961年为22.3%,1971年为27.5%。受测者的年龄、高血压严重程度,尤其是高血压持续时间之间的相关性很明显。为预防高血压性心脏病,早期识别高血压并进行早期治疗很有必要。基于我们的研究,通过胸部荧光摄影进行心血管X光检查结果分析不适用于高血压筛查。必须强调在大规模X光检查中进行血压控制的重要性。通过胸部荧光摄影收集心血管X光检查结果对于诊断高血压性心脏病、未被识别的心脏缺陷以及年龄相关的心脏和血管变化至关重要。这意味着要优化利用大规模X光检查中收集到的资料。

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