在社區控制高血壓之先驅性研究

A Pilot Study on Hypertension Control in the Community

葛應欽(Ying-Chin Ko) ； 黃逸村(Yih-Tsuen Huang)

《The Kaohsiung Journal of Medical Sciences》 1卷5期 (1985/05) Pp. 274-283

https://doi.org/10.6452/KJMS.198505.0274

摘要

The results of seven hundred hypertension patients participated in a blood pressure control program for two years were presented. Subjects were allowed to select one of the two treatment ways. The stepped care (SC) group consisted of 356 cases received intensive antihypertensive therapy at the local health stations. The referred care (RC) group included 352 cases received the usual source of care according to the patient’s own choice. Both groups were not different in age, sex, systolic and diastolic pressures, left ventricular hypertrophy on EKG, blood cholesterol levels and Quetelet’s index at the initial screening examination. The blood glucose levels were significantly different between SC and RC groups. The findings of two year observation were: (1) cumulative death rate of the stepped care group was 40% lower than the referred care group (p＜0.05), (2) the cumulative death rate was 4% lower in mild hypertension stratum, (3) the mean systolic and diastolic pressures of the SC group were reduced by 12.9 and 6.5mmHg respectively than that of the RC group. Among the SC, those who were in high attendance at clinics had better control of the pressure.

並列摘要

The results of seven hundred hypertension patients participated in a blood pressure control program for two years were presented. Subjects were allowed to select one of the two treatment ways. The stepped care (SC) group consisted of 356 cases received intensive antihypertensive therapy at the local health stations. The referred care (RC) group included 352 cases received the usual source of care according to the patient’s own choice. Both groups were not different in age, sex, systolic and diastolic pressures, left ventricular hypertrophy on EKG, blood cholesterol levels and Quetelet’s index at the initial screening examination. The blood glucose levels were significantly different between SC and RC groups. The findings of two year observation were: (1) cumulative death rate of the stepped care group was 40% lower than the referred care group (p＜0.05), (2) the cumulative death rate was 4% lower in mild hypertension stratum, (3) the mean systolic and diastolic pressures of the SC group were reduced by 12.9 and 6.5mmHg respectively than that of the RC group. Among the SC, those who were in high attendance at clinics had better control of the pressure.

並列關鍵字

hypertension control