Olubodun J O
Department of Medicine/Nephrology, University of Newcastle Upon Tyne, Freeman Hospital, England.
Ethn Dis. 1998;8(2):240-8.
Hypertension is quite common in Africa and recent reports suggest that its prevalence might be rising with many patients not receiving treatment. It appears the majority of those receiving medical attention present at the stage of severe complications. The issue of management appears quite complex as a result of several militating factors, including ignorance of the implications of hypertension, uneven economic resources and physicians, as well as governmental factors. The result of these is inadequate blood pressure control even among the few who present fairly early to physicians. This review examines, partly based on previous studies among hypertensives and physicians, the role of the patient, the physician and the government with a view to identifying where the greatest responsibility lies. Suggestions for improvement in blood pressure control in African hypertensives are given.
高血压在非洲相当普遍，最近的报告表明其患病率可能正在上升，许多患者未接受治疗。似乎大多数接受医疗护理的患者都是在严重并发症阶段就诊。由于多种不利因素，包括对高血压影响的无知、经济资源和医生分布不均以及政府因素，管理问题显得相当复杂。其结果是，即使在少数较早就诊于医生的患者中，血压控制也不充分。本综述部分基于之前对高血压患者和医生的研究，探讨了患者、医生和政府的作用，以期确定最大责任所在。并给出了改善非洲高血压患者血压控制的建议。
