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首页> 外文期刊>Scandinavian journal of primary health care. >High blood pressure despite treatment: results from a cross-sectional primary healthcare-based study in southern Sweden.
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High blood pressure despite treatment: results from a cross-sectional primary healthcare-based study in southern Sweden.

机译：尽管进行了治疗但仍是高血压：瑞典南部一项基于基础医疗保健的横断面研究得出的结果。

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OBJECTIVE: To study degree of blood pressure (BP) control in primary healthcare (PHC) treated hypertensive patients in relation to sex, age, drug treatment, and concomitant diseases. DESIGN: Random sample of patients with hypertension. SETTING: Ten PHC centres in the Region of Skane, Sweden. SUBJECTS: All the 30- to 95-year-old patients with hypertension who during the period 12 September to 24 September 2004 attended their PHC (146 men and 229 women). MAIN OUTCOME MEASURES: Achievement of BP control (< 140/90 mmHg) according to European guidelines. RESULTS: Some 90% had been treated > 12 months, 40% had mono-therapy, 15% > or = 3 drugs. Use of diuretics was more common in women while use of ACE inhibitors and calcium channel blockers was common in men. Inadequate BP control was related to age; only 22% had BP < 140/90 mmHg, 38% had a BP > or = 160/100 mmHg. BP decline was inversely related to BP measured 12 months or more prior to the present follow-up (r = - 0.64, p < 0.001, for systolic and r = - 0.67, p < 0.001, for diastolic BP). The systolic or diastolic BP had in every fifth patient during treatment increased by > or = 10 mmHg. No association was found between average BP decline and prescribed number of drugs. CONCLUSION: A minority of the patients had BP below the level (< 140/90 mmHg) recommended by European guidelines. This study illustrates the need for continued follow-up of defined groups of patients in order to improve quality of care.
机译：目的：研究与性别，年龄，药物治疗和伴随疾病有关的初级保健（PHC）治疗的高血压患者的血压（BP）控制程度。设计：高血压患者的随机样本。地点：瑞典Skane地区的10个PHC中心。受试者：2004年9月12日至9月24日期间，所有30至95岁的高血压患者均接受了初级保健（146名男性和229名女性）。主要观察指标：根据欧洲指南，达到血压控制（<140/90 mmHg）。结果：大约90％的患者接受了12个月以上的治疗，40％的患者接受了单一疗法，15％或= 3种药物。女性使用利尿剂更为常见，而男性使用ACE抑制剂和钙通道阻滞剂则更为常见。血压控制不佳与年龄有关;只有22％的BP <140/90 mmHg，38％的BP>或= 160/100 mmHg。 BP下降与本次随访前12个月或更长时间测得的BP呈负相关（对于收缩压，r =-0.64，p <0.001，对于舒张压，r =-0.67，p <0.001）。在治疗过程中，每五名患者的收缩压或舒张压增加> 10 mmHg。在平均血压下降与处方药数量之间未发现关联。结论：少数患者的血压低于欧洲指南推荐的水平（<140/90 mmHg）。这项研究表明，需要对特定人群进行持续随访，以提高护理质量。

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