高血压人群腹主动脉瘤的患病率。
Prevalence of abdominal aortic aneurysm in a hypertensive population.
作者信息
Williams I M, Hughes O D, Townsend E, Winter R K, Lewis M H
机构信息
Department of Surgery, East Glamorgan General Hospital.
出版信息
Ann R Coll Surg Engl. 1996 Nov;78(6):501-4.
Two studies were undertaken to estimate the prevalence of abdominal aortic aneurysm in a hypertensive population. The initial study screened hypertensive people from three local general practices. In this study 918 patients underwent ultrasound scanning of the abdominal aorta (498 men and 420 women). A total of 24 abdominal aortic aneurysms were identified; 20 in men (4%) and four in women (0.9%). Of these, 11 were > 4 cm in transverse diameter. Following this study, only hypertensive men over the age of 60 years and women over the age of 65 years were screened from a total of 29 general practices. Regular scanning sessions were held at each practice and 1328 patients attended (744 men and 584 women). A total of 43 abdominal aortic aneurysms were detected; 39 in men (5.2%) and four in women (0.7%). Hypertensive men are at increased risk of developing abdominal aortic aneurysms and should be offered an initial ultrasound scan at 60 years of age. Female hypertensives yield a much lower detection rate and screening hypertensive females would probably be an inappropriate use of available resources.
开展了两项研究以评估高血压人群腹主动脉瘤的患病率。最初的研究从当地三家全科诊所筛选高血压患者。在这项研究中，918名患者接受了腹主动脉超声扫描（498名男性和420名女性）。共发现24例腹主动脉瘤；男性20例（4%），女性4例（0.9%）。其中，11例横径大于4厘米。在这项研究之后，仅从29家全科诊所中筛选60岁以上的高血压男性和65岁以上的高血压女性。每家诊所定期进行扫描，1328名患者前来就诊（744名男性和584名女性）。共检测到43例腹主动脉瘤；男性39例（5.2%），女性4例（0.7%）。高血压男性患腹主动脉瘤的风险增加，应在60岁时进行首次超声扫描。女性高血压患者的检出率要低得多，对女性高血压患者进行筛查可能会不适当地使用现有资源。
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