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本文根据首钢7211名职工五年血压随诊的结果,评价了我国的高血压诊断标准(标准Ⅰ)和世界卫生组织推荐的高血压诊断标准(标准Ⅱ)对指导人群防治的意义。标准Ⅰ检出的高血压患病率比标准Ⅱ高3％(218人)。差别在于按标准Ⅱ规定这218人属于临界高血压,不在高血压病之列。218人五年后复查时,74.8％已自然恢复正常血压。因此作者认为,应用标准Ⅱ比较符合人群实际情况,并足以达到防治目的。
According to the results of follow-up of blood pressure of 7211 employees in Shougang Group for five years, this paper evaluates the significance of our country’s hypertension diagnostic criteria (standardⅠ) and WHO diagnostic criteria of hypertension (standardⅡ) to guide the prevention and treatment of the crowd. The prevalence of hypertension in standard I was 3% higher than in standard II (218). The difference is that according to the standard Ⅱ 218 people are critical hypertension, not in the list of hypertension. Of the 218 people who reviewed after five years, 74.8% had spontaneously recovered from normal blood pressure. Therefore, the author believes that the application of standard Ⅱ more in line with the actual situation of the population, and sufficient to achieve the purpose of prevention and treatment.