Díez Manglano J, Callau Barrio M P
Servicio de Urgencias, Hospital Clínico y Centro de Salud Universitas, Zaragoza.
Aten Primaria. 1993 Jul-Aug;12(3):149-51.
To find the attitude of Residential Interns (RI) to the diagnosis and initiation of treatment for Arterial Hypertension (AH).
Crossover study.
Tertiary hospital in Zaragoza's Health Area III.
60 RIs selected by means of stratified random sampling. An open-reply questionnaire administered in writing on an individual basis during the second term of 1991.
28% of RIs (17 RIs) used the figures 140/90 mmHg to diagnosis AHT. 70% (42 RIs) made three measurements before making a diagnosis. 13% (8 RIs) took therapeutic measures when systolic pressure (SP) was above 140 mmHg and 30% (18 RIs) when the figures were above 160 mmHg. Diastolic pressure (DP) above 90 mmHg was a signal that treatment was needed for 43% (26 RIs); and figures above 95 mmHg for 31% (19 RIs). There were no differences for the doctor's age, gender, specialty, year of graduation or year of residency.
The RIs used figures recommended by bodies such as the WHO or the Spanish Society for the Fight against AHT, to diagnose AHT. They made the diagnosis after three measurements. They started treatment, which is usually hygiene-dietetic measures to begin with, according to the DP.
了解住院实习生对动脉高血压（AH）诊断及治疗起始的态度。
交叉研究。
萨拉戈萨市第三卫生区的三级医院。
通过分层随机抽样选取60名住院实习生。1991年第二学期以个人书面形式发放开放式问卷。
28%（17名）住院实习生采用140/90 mmHg这一数值来诊断AH。70%（42名）在诊断前进行了三次测量。13%（8名）在收缩压（SP）高于140 mmHg时采取治疗措施，30%（18名）在数值高于160 mmHg时采取治疗措施。舒张压（DP）高于90 mmHg是43%（26名）住院实习生认为需要治疗的信号；高于95 mmHg是31%（19名）住院实习生认为需要治疗的信号。医生的年龄、性别、专业、毕业年份或住院年份之间没有差异。
住院实习生采用世界卫生组织或西班牙抗AH协会等机构推荐的数值来诊断AH。他们在进行三次测量后做出诊断。他们根据舒张压开始治疗，通常首先采取卫生饮食措施。
