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[门诊治疗动脉高血压:1988 - 1990年斯普利特临床医院中心高血压患者门诊护理分析]

[Outpatient approach to arterial hypertension: analysis of ambulatory care of hypertonic patients at the Clinical Hospital Center in Split 1988-1990].

作者信息

Bagatin J, Sardelić S, Rumboldt Z, Korljan B, Naranca M, Pivac N, Simunić M

机构信息

Interna klinika Klinickog bolnickog centra, u Splitu i Medicinskog fakulteta Sveucilista u Zagrebu.

出版信息

Lijec Vjesn. 1993 Jan-Feb;115(1-2):30-4.

PMID:8377572
Abstract

A retrospective analysis of 5,088 hypertensives treated by our Outpatient Clinic, Department of Medicine, University Hospital Split from 1988 through 1990 is presented. Male sex was predominant (about 65%) and almost all the patients (over 95%) were overweight and the majority (over 50%) have had mild hypertension. Essential form was by far the most prevalent type of hypertension (over 95%), while curable forms of secondary hypertension were rare indeed (less than 0.2%). Diuretics and beta blockers, the traditional first-line antihypertensives were the most prescribed drugs (over 60%), while the share of ACE inhibitors, calcium antagonists and alpha blockers was steadily increasing. General measures, such as body weight reduction, salt restriction or cessation of smoking, although obligatory part of the treatment and suggested to each hypertensive, are rarely carried out.

摘要

本文对1988年至1990年期间斯普利特大学医院内科门诊所治疗的5088例高血压患者进行了回顾性分析。男性占主导(约65%),几乎所有患者(超过95%)超重,大多数(超过50%)患有轻度高血压。原发性高血压是迄今为止最常见的高血压类型(超过95%),而可治愈的继发性高血压形式确实很少见(不到0.2%)。利尿剂和β受体阻滞剂这两种传统的一线抗高血压药物是最常处方的药物(超过60%),而血管紧张素转换酶抑制剂、钙拮抗剂和α受体阻滞剂的使用比例在稳步增加。一般措施,如减轻体重、限制盐摄入或戒烟,尽管是治疗的必要部分并建议每位高血压患者采取,但很少得到实施。

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