Kastarinen M J, Salomaa V V, Vartiainen E A, Jousilahti P J, Tuomilehto J O, Puska P M, Nissinen A M
Department of Public Health and General Practice, University of Kuopio, Finland.
J Hypertens. 1998 Sep;16(9):1379-87. doi: 10.1097/00004872-199816090-00019.
To assess the trends in blood pressure levels and hypertension control in Finland from 1982 to 1997.
Four independent cross-sectional population surveys conducted in 1982, 1987, 1992 and 1997.
From 1982 to 1997, the provinces of North Karelia and Kuopio in eastern Finland and the region of Turku-Loimaa in southwestern Finland were surveyed. From 1992 to 1997, the Helsinki-Vantaa region in southern Finland was surveyed.
Men and women aged 25-64 years were selected randomly from the national population register. The total number of participants was 27 623.
We assessed mean systolic and diastolic blood pressure, prevalence of hypertension (subjects with systolic blood pressure > or = 160 mmHg or diastolic blood pressure > or = 95 mmHg or current use of antihypertensive drug treatment) and antihypertensive drug treatment and quality of hypertension care among hypertensive persons.
Mean systolic blood pressure and the prevalence of hypertension decreased significantly in all areas except among men in the Helsinki-Vantaa region. The fall in mean diastolic pressure was significant only in eastern Finland. The proportion of hypertensives who were unaware of their condition fell from 45.5 to 24.1% in men and from 27.2 to 15.7% in women. At the same time, the proportion of hypertensives with adequately controlled blood pressure (systolic pressure < 160 mmHg and diastolic pressure < 95 mmHg) increased from 9.4 to 23.5% in men and from 16.0 to 36.7% in women.
Hypertension care in Finland has improved significantly during the last 15 years. However, the situation is still far from optimal. It is obvious that the biggest problem in hypertension care has shifted from detection to adequate treatment of high blood pressure.
评估1982年至1997年芬兰的血压水平及高血压控制情况的变化趋势。
于1982年、1987年、1992年和1997年进行了四项独立的横断面人群调查。
1982年至1997年，对芬兰东部的北卡累利阿省和库奥皮奥省以及芬兰西南部的图尔库-洛伊马地区进行了调查。1992年至1997年，对芬兰南部的赫尔辛基-万塔地区进行了调查。
从全国人口登记册中随机选取年龄在25至64岁之间的男性和女性。参与者总数为27623人。
我们评估了平均收缩压和舒张压、高血压患病率（收缩压≥160 mmHg或舒张压≥95 mmHg或正在使用降压药物治疗的受试者）以及高血压患者的降压药物治疗情况和高血压护理质量。
除赫尔辛基-万塔地区的男性外，所有地区的平均收缩压和高血压患病率均显著下降。平均舒张压的下降仅在芬兰东部显著。未意识到自己患有高血压的高血压患者比例在男性中从45.5%降至24.1%，在女性中从27.2%降至15.7%。与此同时，血压得到充分控制（收缩压<160 mmHg且舒张压<95 mmHg）的高血压患者比例在男性中从9.4%增至23.5%，在女性中从16.0%增至36.7%。
在过去15年中，芬兰的高血压护理有了显著改善。然而，情况仍远未达到最佳状态。显然，高血压护理中最大的问题已从检测高血压转向对高血压进行充分治疗。
