Alonso Martínez M M, Condés Moreno E, Saá Sarria R, Valdivia Altamirano H, del Río M
Centro de Salud San Fernando, Móstoles, Madrid.
Aten Primaria. 1996 May 31;17(9):575-9.
To establish effectiveness of the hypertension program basing on the detection degree, decreasing of blood pressure and control of hypertension.
Intervention study.
Primary care.
A group > or = 14 years of age, treated by the primary health care and selected at random (3,349). Here we found all the patients with hypertension (237). INTERVENTION AND MAIN RESULTS: Hypertension program approval of the public health department. Criteria followed are those suggested in report V of the Joint National COMMITTEE: Global prevalence of hypertension is 7.1% and in the group > or = 65 years of age 51.3%. Average decrease of the systolic blood pressure is 18.9 mmHg and that of the diastolic blood pressure 13.5 mmHg, both with p < 0.001. Decrease for patients with mild hypertension was 5.4-13.8 mmHg for systolic and 6.7-11.8 for diastolic. Patients with moderate hypertension 17.3-22.5 and 12.2-15.7 mmHg respectively and patients with severe hypertension 27.6-43.0 and 15.0-23.0 mmHg. The 39.7% of hypertensive patients have systolic < 140 mmHg and 70.0% have diastolic < 90 mmHg at the end of monitoring period.
Actual application of hypertension program by our primary care system allows detection of elderly patients with high blood pressure, major decrease of blood pressure, together with a greater decrease even whether they high at the beginning of the monitoring.
基于检测程度、血压降低情况及高血压控制情况来确立高血压项目的有效性。
干预性研究。
初级保健机构。
年龄≥14岁、接受初级卫生保健且随机选取的一组人群（3349人）。在此组中我们发现了所有高血压患者（237人）。干预措施及主要结果：经公共卫生部门批准的高血压项目。遵循的标准为美国国家联合委员会报告V中所建议的标准：高血压全球患病率为7.1%，在年龄≥65岁的人群中为51.3%。收缩压平均降低18.9 mmHg，舒张压平均降低13.5 mmHg，两者p值均<0.001。轻度高血压患者收缩压降低5.4 - 13.8 mmHg，舒张压降低6.7 - 11.8 mmHg。中度高血压患者分别为17.3 - 22.5 mmHg和12.2 - 15.7 mmHg，重度高血压患者为27.6 - 43.0 mmHg和15.0 - 23.0 mmHg。在监测期结束时，39.7%的高血压患者收缩压<140 mmHg，70.0%的患者舒张压<90 mmHg。
我们的初级保健系统实际应用高血压项目能够检测出老年高血压患者，使血压大幅降低，而且即使在监测开始时血压较高的患者血压下降幅度更大。
