作为捷克共和国公共卫生问题的动脉高血压。

Renata Cífková
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引用次数: 16

摘要

高血压会增加患冠心病、中风、外周动脉疾病和心力衰竭的风险。在捷克共和国(1985年、1988年、1992年、1997/98年和2000/01年)进行了五次心血管危险因素的独立横断面调查,总是涉及年龄在25-64岁之间的代表性人群样本。在15-16年间,人口平均收缩压(从133.6 +/- 20.2降至128.8 +/- 18.1 mmHg;p < 0.001)和舒张压(从84.1 +/- 11.3到81.4 +/- 10.0 mmHg;p < 0.001)血压(BP)。男女高血压患病率也有显著下降(男性从51.9%降至45.6%;P < 0.001;女性从42.5%降至33.0%;P < 0.001)。男女对高血压的认识都有所增加,其中女性的高血压发病率更高(男性从41.4%上升到62.1%;P < 0.001;女性从58.9%降至73.8%;P < 0.001)。在15/16年期间,高血压控制显著改善(从3.9%到17.9%;P < 0.001),持续显示女性更有效的控制。人口平均血压的显著下降似乎有助于捷克共和国自1985年以来观察到的总死亡率和心血管死亡率的下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arterial hypertension as a public health issue in the Czech Republic.

Hypertension increases the risk of coronary heart disease, stroke, peripheral arterial disease and heart failure. Five independent cross-sectional surveys for cardiovascular risk factors have been conducted in the Czech Republic (1985, 1988, 1992, 1997/98 and 2000/01), always involving a representative population sample aged 25-64 years. Over a period of 15-16 years, there was a statistically significant downward trend in population mean systolic (from 133.6 +/- 20.2 to 128.8 +/- 18.1 mmHg; p < 0.001) and diastolic (from 84.1 +/- 11.3 to 81.4 +/- 10.0 mmHg; p < 0.001) blood pressure (BP). There was also a significant decrease in the prevalence of hypertension in both sexes (from 51.9% to 45.6% in men; p < 0.001; from 42.5% to 33.0% in women; p < 0.001). Awareness of hypertension increased in both sexes, showing higher rates for females (men from 41.4% to 62.1%; p < 0.001; women from 58.9% to 73.8%; p < 0.001). Hypertension control improved significantly over the period of 15/16 years (from 3.9% to 17.9%; p < 0.001), consistently showing more effective control in women. The significant decrease in population mean BP seems to have contributed to the decrease in total and cardiovascular mortality in the Czech Republic observed since 1985.

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