Lou S, Grima J L, Sierra J M, Ouzzine M, Jimeno Aranda A
Centro de Salud Valdefierro, Zaragoza.
Aten Primaria. 1993 Oct 31;12(7):393-6.
To evaluate an arterial Hypertension programme (AHP), with analysis of its feasibility and the problems inherent in the methodology used.
A retrospective evaluation of the results of an AHP programme. A population projection of the results by means of an extrapolated calculation.
An urban Health Centre.
A random sample of 282 patients selected from the total of 564 individuals diagnosed with AHT over the 6 years of the programme's operation.
The 564 patients in the records made up 16.5% of the Health Area's adult population. The iceberg phenomenon (the percentage of undiagnosed hypertension sufferers) has evolved from 59% in 1988 to the present 17%. 7.4% of the sample received no treatment. Average AHT figures for the patients in treatment were 143 +/- 15 mm Hg systolic pressure and 85 +/- 9 mm Hg diastolic. 75% had adequate control of their tension figures (< 160/95). The population projection of these findings indicated that 57% of Hypertension sufferers calculated to be living in the Health area were diagnosed and monitored.
The results show that the AHT situation among the population has substantially improved. The methodology used is easy to manage and can be of service in the evaluation of the impact of AHT programmes on the population.
评估一项动脉高血压项目（AHP），分析其可行性以及所用方法中存在的固有问题。
对AHP项目结果进行回顾性评估。通过外推计算对结果进行人群预测。
一家城市健康中心。
从该项目运行6年期间确诊患有动脉高血压的564名患者中随机抽取的282名患者。
记录中的564名患者占健康区域成年人口的16.5%。冰山现象（未确诊高血压患者的百分比）已从1988年的59%降至目前的17%。7.4%的样本未接受治疗。接受治疗患者的动脉高血压平均数值为收缩压143±15毫米汞柱，舒张压85±9毫米汞柱。75%的患者血压控制良好（<160/95）。这些结果的人群预测表明，预计生活在该健康区域的高血压患者中有57%得到了诊断和监测。
结果表明人群中的动脉高血压状况有了显著改善。所用方法易于管理，可用于评估动脉高血压项目对人群的影响。
