在沙特患者中使用治疗范围的时间进行长期血压控制评估
M A Alshabeeb1, R Alajlan, S Abohelaika
1Pharmaceutical Analysis Department, King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia. shabeebmo@ngha.med.sa.
European review for medical and pharmacological sciences
|December 17, 2024
概括
大多数沙特患者 (74%) 血压控制低于最佳,治疗时间范围 (TTR) 低于50%. 这凸显了在沙特阿拉伯改善高血压管理和治疗坚持的必要性.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 公共卫生 公共卫生
背景情况:
- 治疗范围中的时间 (TTR) 提供了比单次测量更准确的血压 (BP) 控制评估.
- 在沙特阿拉伯,关于TTR及其决定因素的数据有限.
- 这项研究通过评估沙特队列中使用TTR进行血压控制来解决这一差距.
研究的目的:
- 调查沙特患者血压控制治疗范围 (TTR) 中的时间.
- 确定与实现或不实现至少50%的TTR相关的因素.
主要方法:
- 从2016年1月到2020年12月,对30694名患有高血压的成年患者进行了回顾性分析.
- 计算TTR值,并对TTR≥50%和TTR<50%的患者进行比较.
- 普森回归用于识别与TTR水平相关的患者特征.
主要成果:
- 沙特队伍中74%的TTR<50%,表明血压控制不足最佳.
- 女性性别,糖尿病和心血管疾病与较高的TTR (≥50%) 有关.
- 增加年龄,BMI,HTN持续时间和高脂血症与较低的TTR (<50%) 相关.
结论:
- 大多数沙特患者表现出基于TTR的血压控制不佳,低于推的50%门.
- 结果表明,临床医生和患者遵守2017年ACC/AHA高血压指南可能存在问题.
- 需要紧急干预,以加强高血压管理,并改善沙特阿拉伯的TTR成就.
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