血压控制和抗高血压治疗在瑞士的一般实践:一个使用常规数据的横截面研究
Stefania Di Gangi1, Roman Brenner2, Thomas Grischott1
1Institute of Primary Care, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Swiss medical weekly
|November 21, 2024
概括
在瑞士的全科医院中,血压控制在46.7%的动脉高血压患者中实现. 治疗强度和监测等因素改善了控制,而年龄较大和女性性别与较差的结果有关.
科学领域:
- 心脏病学 心脏病学
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 动脉高血压对全球健康构成重大风险.
- 目前的药物治疗和血压目标实现率低于最佳水平.
- 了解一般实践中的治疗模式至关重要.
研究的目的:
- 为了评估在瑞士的一般实践中血压目标的实现.
- 分析动脉高血压治疗策略.
- 为了确定影响血压控制的因素.
主要方法:
- 使用瑞士初级保健数据库进行横截面研究.
- 包括2021年监测的患有动脉高血压的成年患者.
- 后勤回归模型用于识别与血压控制相关的因素.
主要成果:
- 在49,290名患者中,46.7%的患者实现了血压控制 (<140/90 mmHg).
- 抗高血压药物治疗被处方给了74.4%的患者.
- 对控制的积极关联:高血压阶段,药物治疗,监测强度.
- 与控制的负面关联:长期高血压,女性性别,年龄较大.
结论:
- 一般医生在治疗中考虑高血压阶段.
- 需要改善药物治疗处方,特别是针对特定患者群体的药物治疗.
- 有针对性的干预措施可以提高长期高血压,女性和老年人的血压控制.
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