Gros T, de la Figuera M, Méndez A, Borrell M, Davins J, Espel C, Ciurana R, del Amo M, Casas A
Area Básica de Salud La Mina, Sant Adrià de Besòs, Barcelona.
Aten Primaria. 1994 Oct 15;14(6):821-4.
To analyse the frequency of attendance and the time elapsed between the diagnosis of Arterial Hypertension (AHT) and the control of Arterial Pressure (AP); and to analyse the different ways of presenting the level of control of AHT.
Retrospective study.
Teaching Health Centre.
103 hypertense patients diagnosed since 1986: 44 men (42.7%) and 59 women (57.3%), with an average age of 52.6 +/- 1. Their initial AP was 164.4 +/- 17.1/102.1 +/- 7.4 mmHg. The criterion of AHT control was Diastolic Arterial Pressure (DAP) < 90 mmHg.
AP at the end of the first year was 150.1 +/- 20.6/90.7 +/- 9.6 mmHg (p < 0.001 in comparison with the initial AP). The average attendances for AHT and per patient in the first year was 8.7 +/- 5 (1-26). Patients with more severe forms of AHT and/or with associated risk factors visited more often (p < 0.05). During the first year 76 patients (73.7%) presented on at least one attendance a controlled DAP. At the end of the first year 46 patients (44.6%) were under control. The average time per patient until AP was controlled was 28.6 +/- 31.6 weeks (1-168). Males and under-65s took more time to control their AP (p < 0.05).
There are gender and age differences in the time required to bring AP under control. Frequency of attendance is related to the severity of AHT and the presence of other pathologies and risk factors. The level of control of AHT, expressed in different ways, is not constant.
分析动脉高血压（AHT）诊断与动脉压（AP）控制之间的就诊频率和时间间隔；并分析呈现AHT控制水平的不同方式。
回顾性研究。
教学健康中心。
自1986年以来诊断出的103例高血压患者：44名男性（42.7%）和59名女性（57.3%），平均年龄为52.6±1岁。他们的初始AP为164.4±17.1/102.1±7.4 mmHg。AHT控制的标准是舒张压（DAP）<90 mmHg。
第一年结束时的AP为150.1±20.6/90.7±9.6 mmHg（与初始AP相比，p<0.001）。第一年AHT的平均就诊次数及每位患者的就诊次数为8.7±5次（1 - 26次）。AHT病情更严重和/或伴有相关危险因素的患者就诊更频繁（p<0.05）。在第一年，76例患者（73.7%）至少有一次就诊时DAP得到控制。在第一年结束时，46例患者（44.6%）血压得到控制。每位患者直到AP得到控制的平均时间为28.6±31.6周（1 - 168周）。男性和65岁以下的患者控制AP所需时间更长（p<0.05）。
在使AP得到控制所需的时间上存在性别和年龄差异。就诊频率与AHT的严重程度以及其他病理状况和危险因素有关。以不同方式表示的AHT控制水平并不恒定。
