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高血压检测与控制的变化趋势:芝加哥的经验

Changing trends in hypertension detection and control: the Chicago experience.

作者信息

Berkson D M, Brown M C, Stanton H, Masterson J, Shireman L, Ausbrook D K, Mikes D, Whipple I T, Muriel H H

出版信息

Am J Public Health. 1980 Apr;70(4):389-93. doi: 10.2105/ajph.70.4.389.

DOI:10.2105/ajph.70.4.389
PMID:7361957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1619398/
Abstract

Of 177,692 persons screened in 1977 as part of an ongoing City-Wide Hypertension Screening Program in Chicago, 14,988 (8.4%) had diastolic blood pressure (BP) greater than or equal to 95 mm Hg as compared to 13.2% of a similar population in 1976. Only 7% (3,910) of the hypertensive population (diastolic BP greater than or equal to 95 mm Hg or presently on antipressor drugs) had previously undetected hypertension in contrast to 11.9% (4,184) the year before and 48.7% in the same community in 1972. Conversely, 73.2% (40,738) had adequately controlled blood pressure as contrasted to 59.3% (20,897) the previous year and 20.6% in 1972. Of the remaining hypertensives, 7.5% (4,201) were known but not treated and 12.3% (6,824) were under treatment but not controlled in contrast to 12.1% (4,251) and 16.8% (5,905) respectively the year before. This upward trend in controlled hypertension was present in all strata of the population.

摘要

作为芝加哥全市高血压筛查项目的一部分,1977年对177,692人进行了筛查,其中14,988人(8.4%)舒张压(BP)大于或等于95毫米汞柱,而1976年类似人群的这一比例为13.2%。高血压人群(舒张压大于或等于95毫米汞柱或目前正在服用降压药)中,只有7%(3,910人)之前未被检测出患有高血压,相比之下,前一年为11.9%(4,184人),1972年在同一社区这一比例为48.7%。相反,73.2%(40,738人)的血压得到了充分控制,相比之下,前一年为59.3%(20,897人),1972年为20.6%。在其余高血压患者中,7.5%(4,201人)已知患有高血压但未接受治疗,12.3%(6,824人)正在接受治疗但血压未得到控制,相比之下,前一年分别为12.1%(4,251人)和16.8%(5,905人)。血压得到控制的高血压患者比例呈上升趋势,这一趋势在所有人群阶层中都存在。

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本文引用的文献

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Lupus Exuberans with Miliary Lupus.伴有粟粒性狼疮的肥大性狼疮
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Effects of treatment on morbidity in hypertension. Results in patients with diastolic blood pressures averaging 115 through 129 mm Hg.治疗对高血压发病率的影响。舒张压平均为115至129毫米汞柱的患者的结果。
JAMA. 1967 Dec 11;202(11):1028-34.
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JAMA. 1972 Oct 30;222(5):559-62.
6
Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975.对100万美国人进行高血压筛查。社区高血压评估诊所(CHEC)项目,1973年至1975年。
JAMA. 1976 May 24;235(21):2299-306. doi: 10.1001/jama.235.21.2299.
7
Blood pressure studies in 14 communities. A two-stage screen for hypertension.14个社区的血压研究。高血压的两阶段筛查。
JAMA. 1977 May 30;237(22):2385-91. doi: 10.1001/jama.1977.03270490025018.