Hutchinson P J, Trill A S, Turner P, Jackson S H
Department of Clinical Pharmacology, St Bartholomew's Hospital, London, UK.
Postgrad Med J. 1994 May;70(823):355-8. doi: 10.1136/pgmj.70.823.355.
A questionnaire concerning the detection and management of hypertension was presented to 265 hospital doctors, 114 medical students and 59 student nurses. Of these 75% were completed. Although only 76% thought that routine measurement was necessary in outpatients, 92% of respondents thought that blood pressure (BP) should be measured routinely in all in-patients. A total of 17% of all doctors and 11% of physicians indicated that they would not use drug treatment until the diastolic BP exceeded 105 mmHg. Thirty-four per cent of respondents still use diastolic phase IV and 84% felt that BP should be measured 2-4 times before deciding on treatment but the posture of the patient (lying, sitting or standing) during recording was inconsistent. Seventy-seven per cent of respondents indicated that they recorded BP to the nearest 5 mmHg and 4% to the nearest 10 mmHg. Despite the literature on the subject, there are still widely differing opinions amongst medical staff on how to record BP and at what level it should be treated.
一份关于高血压检测与管理的问卷被发放给了265名医院医生、114名医学生和59名实习护士。其中75%的问卷被填答。尽管只有76%的人认为在门诊患者中进行常规测量是必要的，但92%的受访者认为应该对所有住院患者进行常规血压测量。所有医生中有17%以及内科医生中有11%表示，在舒张压超过105毫米汞柱之前他们不会使用药物治疗。34%的受访者仍在使用舒张压四期标准，84%的人认为在决定治疗之前应该测量血压2至4次，但记录时患者的体位（卧位、坐位或立位）并不一致。77%的受访者表示他们将血压记录到最接近的5毫米汞柱，4%的人记录到最接近的10毫米汞柱。尽管有关于该主题的文献，但医护人员在如何记录血压以及应该在什么水平进行治疗方面仍然存在广泛的不同意见。
