医院中高血压的当前管理
Current management of hypertension in hospital.
作者信息
Heller R F, Rose G
出版信息
Br Med J. 1977 Jun 4;1(6074):1441-2. doi: 10.1136/bmj.1.6074.1441.
Abstract
A study of the notes of 1784 patients new to two London hospitals found a blood-pressure recording in 1027 (58%). Only 423 (32%) of all outpatients had had a blood-pressure recording on their first visit. Of 144 patients with hypertension (systolic greater than or equal to 160 mm Hg or diastolic greater than or equal 100 mm Hg or both) a check recording was made in 89 (62%) and 18 (12%) were put on treatment. We conclude that the opportunity that a hospital visit provides for blood-pressure screening is being incompletely used, and that the discovery of hypertension often does not lead to further action.
摘要
一项针对伦敦两家医院1784名新入院患者病历的研究发现，其中1027名患者（58%）有血压记录。在所有门诊患者中，只有423名（32%）在首次就诊时进行过血压记录。在144名高血压患者（收缩压大于或等于160毫米汞柱，或舒张压大于或等于100毫米汞柱，或两者兼有）中，89名（62%）进行了复查记录，18名（12%）接受了治疗。我们得出结论，医院就诊提供的血压筛查机会未得到充分利用，而且高血压的发现往往未能促使采取进一步行动。
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