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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Blood pressure control among stroke patients in Thailand - The i-STROKE study
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Blood pressure control among stroke patients in Thailand - The i-STROKE study

机译：泰国中风患者的血压控制-i-STROKE研究

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Background: Direct correlation between stroke mortality and hypertension calls for a tight blood pressure (BP) control. Our study determined the prevalence of the BP control and evaluated current clinical practices on hypertension management in stroke patients in Thailand. Methods: This multicenter, cross-sectional, retrospective, observational study was carried out between February 2010 and January 2011 and enrolled stroke patients aged 45 years or older with ictus incidence 12,030 days before the enrollment. The events were confirmed by either computerized tomography scan or magnetic resonance imaging. Patient data including demographics, medical, and clinical history were collected. Results: At enrollment, 274 of 558 (49.1%) patients had controlled arterial BP with an average pressure of 134.220.4/78.812.8 mm Hg; 412 (73.8%) patients received antihypertensive medications and the most common use was angiotensin-converting enzyme inhibitors (ACEIs), reported in 200 (35.8%) patients. With questionnaire, insufficient antihypertensive use and lack of patients' awareness were the 2 most common reasons given by physicians for the patients' uncontrolled BP. Factors identified to have adverse association with the controlled BP at enrollment were diabetes at baseline, stage II hypertension, stage I hypertension, and the use of ACEIs at discharge (odds ratio of.18,.24,.30 [P <.001], and.53 [P =.009], respectively). Conclusions: Despite clinical evidence of the benefits of the BP control in reduction of secondary stroke events, a substantial number of stroke patients in Thailand do not achieve their BP targets, and this could possibly be a result of inadequate use of antihypertensive therapies and lack of compliance to BP management guidelines.
机译：背景：中风死亡率和高血压之间的直接相关性要求严格控制血压。我们的研究确定了BP控制的患病率，并评估了泰国中风患者高血压管理的当前临床实践。方法：这项多中心，横断面，回顾性观察研究于2010年2月至2011年1月之间进行，研究对象为年龄大于等于45岁的中风患者，在入选前12,030天发病。通过计算机断层扫描或磁共振成像证实了这些事件。收集了包括人口统计学，医学史和临床史在内的患者数据。结果：558名患者中有274名（49.1％）患者的动脉血压得到控制，平均压力为134.220.4 / 78.812.8 mm Hg。 412例（73.8％）患者接受了降压药物治疗，最常见的用途是血管紧张素转换酶抑制剂（ACEIs），据报道200例患者中占35.8％。有了问卷调查表，降压药使用不足和患者意识不足是医生给出的患者血压不受控制的两个最常见原因。入组时与受控血压有不良关联的因素包括：基线糖尿病，II期高血压，I期高血压以及出院时使用ACEIs（几率分别为.18，.24，.30 [P <.001] ，和.53 [P = .009]。结论：尽管有临床证据表明血压控制可减少继发性中风事件，但泰国仍有大量中风患者未达到其血压目标，这可能是由于抗高血压治疗方法使用不足和缺乏遵守BP管理指南。

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