[家庭医学部门2020-2021年高血压控制的变化]
Daniel Tetetla-Castro1, Guiomar de Jesús Cruz-Martín2, Angélica Castro-Ríos3
1Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 39, Servicio de Medicina Familiar. Villahermosa, Tabasco, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 14, 2024
概括
由于COVID-19大流行,高血压控制显著恶化,治疗目标达到的患者减少了29.1%. 2型糖尿病成为主要的风险因素,其对高血压管理的影响几乎翻了一番.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压是全球主要的死亡原因,每年造成940万人死亡.
- 随着COVID-19的流行,患者护理需要改变,这影响了慢性疾病的管理.
- 控制高血压对于预防心血管事件和死亡率至关重要.
研究的目的:
- 评估COVID-19大流行对塔巴斯科18号UMF患者高血压控制的影响.
- 为了比较疫情爆发前后的血压控制率.
- 为了确定与高血压控制变化相关的因素.
主要方法:
- 进行了一项追溯纵向观察性研究.
- 分析了被诊断患有高血压的326名患者的随机样本.
- 血压,并发性疾病 (失脂症,糖尿病) 和社会人口统计数据采集并使用多项回归分析.
主要成果:
- 高血压控制显著下降,从2020年的79.1%降至2021年的50%,下降了29.1%.
- 2型糖尿病并发症被确定为不良高血压控制的最重要的风险因素,其影响在流行后几乎翻了一番.
- 经济活跃人口在实现治疗血压目标方面面临更大的挑战.
结论:
- 由于COVID-19的流行,高血压管理的有效性大大减少.
- 2型糖尿病会增加患血压失控的风险,尤其是在公共卫生危机期间.
- 需要针对经济活跃人口等弱势群体进行有针对性的干预,以改善高血压控制.
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