- 期刊
Prevalence of Isolated Systolic Hypertension and the Awareness, Treatment, and Control Rate of Hypertension in Kinmen
金門縣收縮型高血壓盛行率及高血壓的自覺率、接受治療比率、及控制良好比率之調查
摘要
背景 研究顯示收縮型高血壓是高血壓未控制患者中主要的高血壓型態。本研究的目的在於調查金門地區各種高血壓分型（尤其是收縮型高血壓）的盛行率，以及病人對於高血壓的自覺率，接受治療的比率，及血壓控制良好的比率。 方法 本研究乃是1991至1992年在金門地區進行的實地訪查。總共有12396位當地30歲以上的居民接受訪談及量測血壓。 結果 金門地區高血壓及收縮型高血壓的盛行率為35.2%及12.6%。最常見的高血壓分型為合併收縮型及舒張型的高血壓(SDH)。高血壓病人的自覺率，接受治療的比率，及血壓控制良好的比率為31.5%，21.7%，及4.0%。收縮型高血壓的在高血壓病人當中的盛行率在60-69歲以前都低於50%。對於60至70歲以下未接受治療或治療失敗的高血壓病人而言，合併收縮型及舒張型的高血壓(SDH)是最常見的血壓分型。在50歲以上未接受治療或治療失敗的高血壓病人當中，61%及37.2%病人的收縮壓及舒張壓未達治療目標。在50歲以下未接受治療或治療失敗的高血壓病人當中，34.6%及40.9%病人的收縮壓及舒張壓未達治療目標。 結論 金門地區高血壓的盛行率很高但是高血壓病人的自覺率，接受治療的比率，及血壓控制良好的比率卻很低。收縮型高血壓主要以老年人為主，而金門地區最常見的血壓分型是合併收縮型及舒張型的高血壓(SDH)。對於金門地區的高血壓治療，我們仍然需要投注更多的心力。
並列摘要
Background: It has been shown that isolated systolic hypertension (ISH) is the majority subtype of uncontrolled hypertension. The present study was aimed to investigate the prevalence of hypertension subtypes, ISH in particular, and also the rates of hypertension awareness, treatment and control in Kinmen County. Method: The fieldwork of a community-based survey was carried out in Kinmen during 1991-1992. A total of 12,396 residents aged 30 years and older were interviewed and their blood pressure measured. Results: The prevalence was 35.2% for hypertension and 12.6% for ISH in Kinmen. The most common hypertension subtype was systolic/diastolic hypertension (SDH). The rates of awareness, treatment, and control of high blood pressure were 31.5%, 21.7%, and 4.0%, respectively. The prevalence of ISH in the hypertensive subjects was below 50% until seventh decade. The proportion of SDH dominated in both the untreated and inadequately treated hypertensive individuals until the age of 60 or 70 years, respectively. Sixty-one percent and 37.2% of the inadequately treated elderly (age≥50 years) didn't reach treatment goals for SBP and DBP, respectively. In contrast, 34.6% and 40.9% of the inadequately treated younger individuals (age＜50 years) did not reach treatment target for SBP and DBP, respectively. Conclusions: ISH was predominant in the elderly, but SDH was the most prevalent subtype of uncontrolled hypertension in Kinmen. The distinct patterns of systolic and diastolic hypertension were probably related to the low awareness, treatment, and control rates of hypertension. More efforts would be required to improve hypertension control in Kinmen.