De Lena S M, Cingolani H E, Almirón M A, Echeverría R F
Centro de Investigaciones Cardiovasculares, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Argentina.
Medicina (B Aires). 1995;55(3):225-30.
We screened 1.080 individuals of both sexes between 15 and 75 years old of a rural population of Gral. Belgrano (Prov. of Bs As) in order to assess: 1) prevalence of hypertension (HP) 2) state of awareness of the population about hypertension and 3) treatment and control of the hypertensive population. The sample represented 11% of the population between 15 and 75 years old. BP was measured 3 times in one occasion and the average of these determinations was used to state prevalence. The prevalence of HP (BP > or = 140 and/or 90 mmHg) was 39.8% (35.1% for women and 44.9% for men, P < 0.001) (Fig. 2). The prevalence of diastolic hypertension (DHP) was 22.4% in women and 30.1% in men whereas the prevalence of systolic hypertension (SHP) was 9.6% and 12% respectively. 47% of the hypertensive individuals were aware of being hypertensive and 13% of this group were without pharmacological treatment. If we consider the group who was treated (34%) only 7.6% were controlled with the medication. A very high prevalence of this disease was detected in this population. It will be necessary to evaluate obesity and high salt and alcohol intake. The reduction of these risk factors will be of great value for the primary prevention of this disease.
我们对布宜诺斯艾利斯省贝尔格拉诺将军镇农村地区15至75岁的1080名男女进行了筛查，以评估：1）高血压（HP）患病率；2）人群对高血压的知晓状况；3）高血压人群的治疗与控制情况。该样本占15至75岁人群的11%。在同一时间测量3次血压，并以这些测量值的平均值来确定患病率。高血压（血压≥140和/或90 mmHg）的患病率为39.8%（女性为35.1%，男性为44.9%，P<0.001）（图2）。女性舒张期高血压（DHP）的患病率为22.4%，男性为30.1%，而收缩期高血压（SHP）的患病率分别为9.6%和12%。47%的高血压患者知晓自己患有高血压，其中13%未接受药物治疗。如果我们考虑接受治疗的人群（34%），只有7.6%的人通过药物治疗得到了控制。在该人群中检测到这种疾病的患病率非常高。有必要评估肥胖以及高盐和高酒精摄入量。降低这些危险因素对该疾病的一级预防将具有重要价值。
