高血压患者血压控制中的性别差异:三级医院的一项横截面研究
Hussein Alhawari1, Zain Albdour2, Sameeha Alshelleh1
1Department of Internal Medicine, Faculty of Medicine, University of Jordan, Amman, Jordan.
Journal of clinical hypertension (Greenwich, Conn.)
|January 17, 2025
概括
约旦的女性表现出比男性更好的血压 (BP) 控制,尽管存在社会经济方面的挑战. 药物坚持是女性的关键,而男性受益于其他全身药物,突出性别特异性高血压管理需求.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 高血压管理需要了解性别特异性因素.
- 血压 (BP) 控制在不同的人群中存在显著差异.
- 约旦高血压患者是一个独特的人口统计学研究.
研究的目的:
- 调查约旦高血压患者中血压控制中的性别差异.
- 为了确定影响血压控制的因素,男性和女性之间的控制差异.
- 为量身定制的高血压管理战略提供信息.
主要方法:
- 在约旦大学医院 (JUH) 进行的横截面研究.
- 从601名服用抗高血压药物的高血压患者收集的数据.
- 血压控制定义为静缩血压<140 mmHg和静缩血压<90 mmHg.
主要成果:
- 在59.1%的女性和62.7%的男性中观察到血压控制不良.
- 尽管收入,教育程度较低,BMI较高,但女性的血压控制更好.
- 药物坚持改善了女性的控制;男性同时使用全身药物;吸烟对男性产生了负面影响.
结论:
- 女性表现出优异的血压管理,主要是由于治疗的坚持.
- 孕前史和压力对女性的血压控制有负面影响.
- 考虑到性别特异性因素,定制高血压护理对于改善患者的治疗结果至关重要.
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