Prevalence, treatment, and control of hypertension in the French population: data from a survey on high blood pressure in general practice, 1994.
Prevalence, treatment, and control of hypertension in the French population: data from a survey on high blood pressure in general practice, 1994.
复制标题
法国人群高血压的患病率、治疗和控制：来自 1994 年全科高血压调查的数据。
DOI：
10.1016/s0895-7061(98)00071-5
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发表时间：
1998
影响因子：
3.2
通讯作者：
O. Crémier
中科院分区：
文献类型：
--
作者：
B. Chamontin;L. Poggi;T. Lang;J. Ménard;H. Chevalier;H. Gallois;O. Crémier
Sofres Médical 对代表法国医疗人群的 235 名全科医生 (GP) 进行了一项调查，以衡量高血压患者、高血压治疗患者和高血压控制患者的百分比。数据是在 1 周的办公室咨询期间收集的。最初指导从业者使用相同类型的水银血压计，配备不同尺寸的气动袖带。连续测量三次血压 (BP)，并记录最后两次。医生必须在 1 周的时间内对所有到过他们诊所的年龄 > 18 岁的患者进行自己的调查。如果两次记录的血压测量值的平均值≥ 140/90 mm Hg 或正在接受抗高血压药物治疗，则患者被视为高血压 (HP)。使用三个临界点来定义控制性高血压：< 140/90 mm Hg（HP 总体人群）、< 160/95 mm Hg（HP < 65 岁）和 < 160/90 mm Hg（HP ≥ 65 岁）。 在 12,351 名患者（平均年龄，48.6 岁；女性，58%）中，5020 名患者为 HP， (41%) 其中 2035 名患者未接受治疗 (41%)，2985 名患者正在接受抗高血压药物治疗 (59%)。230 名患者 (4.6%) 仍处于中度或重度高血压（血压≥180[收缩压]或105[舒张压]mm Hg）的高风险，即 1 名患者/周/全科医生。该研究证实了全科医疗中高血压的高患病率，并显示10名患者中有7名的血压控制在可接受的水平（根据年龄<160/95或<160/90mmHg），但只有24％的治疗HP达到了血压水平<140/90mmHg的目标，占18至64岁组的28％，占老年组的21％。法国全科医生没有选择最佳控制，医学界正在等待答案关键问题是，最佳血压控制是否能显着改善绝对心血管风险？血压应该降到什么程度？
A survey was conducted in a cohort of 235 general practitioners (GP) selected by Sofres Médical who were representative of the French medical population, to measure the percentage of patients with hypertension, treated hypertensives and patients with controlled hypertension. Data were collected over 1 week of office consultation. Practitioners were initially instructed to use the same type of mercury sphygmomanometer, equipped with pneumatic cuffs of different sizes. Three consecutive blood pressure (BP) measurements were made and the last two were recorded. Practitioners had to carry out their own survey over a period of 1 week on all patients > 18 years of age who visited their offices. Patients were considered as hypertensive (HP) if the mean of the two recorded BP measurements was ≥ 140/90 mm Hg or if they were taking antihypertensive drug treatment. Three cutoff points were used to define controlled hypertension: < 140/90 mm Hg (overall population of HP), < 160/95 mm Hg (HP < 65 years of age), and < 160/90 mm Hg (HP ≥ 65 years of age).Among 12,351 patients (mean age, 48.6 years; women, 58%), 5020 were HP, (41%) of whom 2035 were without treatment (41%) and 2985 were receiving antihypertensive drug treatment (59%).Two hundred-thirty patients (4.6%) remained at high risk with moderate or severe hypertension (BP ≥ 180 [systolic] or 105 [diastolic] mm Hg), ie, 1 patient/week/GP.The study confirms the high prevalence of hypertension in general practice and shows that 7 of 10 patients have an acceptable control of their BP (< 160/95 or < 160/90 mm Hg according to age) but only 24% of treated HP achieved the target of a BP level < 140/90 mm Hg, representing 28% of the 18 to 64 year old group and 21% of the elderly group.French GP did not choose an optimal control, and the medical community is waiting for answers to crucial questions, ie, does optimal BP control significantly improve the absolute cardiovascular risk? How far should blood pressure be lowered?