城市巴基斯坦的全科医生对高血压的治疗方法:实践中令人不安的趋势
Tazeen H Jafar1, Saleem Jessani, Fahim H Jafary
1Section of Nephrology, Department of Medicine, Aga Khan University, PO Box 3500, Stadium Road, Karachi, 74800, Pakistan. tazeen.jafar@aku.edu
Circulation
|March 17, 2005
概括
巴基斯坦的全科医生经常误诊和治疗高血压 (BP),特别是在老年患者中. 这凸显了改善医疗教育和更新高血压管理指南的迫切需要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 全球控制血压 (BP) 仍然是一个重大挑战.
- 一般医生 (GPs) 遵守高血压指南对于有效的患者管理至关重要.
- 不理想的血压控制需要评估当前的临床实践.
研究的目的:
- 评估全科医生对高血压的管理是否符合国际指导方针.
- 在高血压的诊断和治疗中识别特定的不遵守的领域.
- 评估巴基斯坦的全科医生关于高血压管理的现有做法.
主要方法:
- 在巴基斯坦城市的1000名全科医生 (GP) 中进行了一项横截面调查.
- 一个详细的问卷评估了全科医生的检测,评估和治疗高血压的做法.
- 经过培训的医疗人员收集了数据,反应率为95%.
主要成果:
- 有很大比例的全科医生在诊断高血压时使用了不正确的血压切断值 (30.6%为60岁以下,79.7%为60岁以上).
- 只有34.7%的全科医生开始为老年人提供适当的高血压治疗.
- 不常见或不适当的治疗是常见的,包括镇静剂 (45.0%) 和舌下药物 (68.7%),而 thiazide 利尿剂很少使用 (4.2%).
结论:
- 巴基斯坦的全科医生表明,高血压的诊断和治疗不足,特别是在老年人群中.
- 迫切需要修订医学院课程,并实施高血压管理的持续医学教育.
- 促进使用具有成本效益的 thiazide 利尿剂至关重要,特别是在发展中国家.
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