僻地山村における診療所を中心とした高血圧管理の検討
スポンサーリンク
概要
- 論文の詳細を見る
A programme had been under way for 4 years from 1960 to 1963 at Wago clinic in Anan Town, Shimoina County, Nagano Prefecture to study methods for the control of hypertension. The programme included about 430 inhabitants of Wago Community who are over 40 years. The method for the control of hypertension was based on mass examination of persons and examination of patients visiting the clinic in the clinic above-mentioned group. The following observation were made : 1. Much is expected of clinics in the control of hypertension in a community. If clinics were to take up a positive attitude toward the problem of management of hypertensives among the inhabitants, it would be possible to achieve excellent results in the control of hypertension both quantitatibely and qualitatively. The necessity is urgent for the establishment of a system for the control of diseases in which clinics are duly committed to performing proper functions. 2. An increase in the number of persons receiving physical checkup in mass examination, and the number of persons under medical care calls for a cooperative attitude on the part of clinics and better methods for examination. It is also important to stratify inhabitants and to take adequate measures to cope with stratification based on their conditions and natural and social conditions. 3. The incidence of hypertensives among persons over 40 years in the area under study, including persons whose maximum blood pressure was over 200 mmHg. or minimum blood pressure was over 120 mmHg. and persons whose conditions have become fixed with the maximum of 150 to 199mmHg. and with the minimum of 90 to 119mmHg., was 45.9%, while the incidence of persons with abnormal electrocardiographic findings was 42.5 %. The incidence of apoplexy, the mortality, and the presence of the disease per 1,000 inhabitants were 10, 9 and 30, respectively. The number of persons in the prime of life who succumbed to apoplexy was small. 4. It is necessary that persons at least over 30 years should be included in a programme for the control of hypertension. It is also necessary that a screening method based on the characteristics of individual groups or a screening method to be used when observation is carried out for a given period with the number of estimations varying with persons is established. 5. It is necessary to give priority to the management of persons with hypertension, persons with abnormal eleetroeardiographic findings and persons in advanced age who have a high mortality from apoplexy. In view of the fact that persons who neglect to received treatment and persons whose eleetroeardiographic findings are not established have a high incidence of apoplaxy, it is also necessary that proper measures are taken to take care of persons who are receiving insufficient management or left untreated.
- 千葉大学の論文
- 1965-03-28
著者
-
内田 昭夫
千葉大学医学部高次機能制御研究センター、生体情報分野
-
金子 勇
千大・農山村
-
内田 昭夫
千大・農山村
-
柳沢 利喜雄
農医研
-
荒木 武雄
千葉大学医学都農山医学研究施設
-
柳沢 利喜雄
千葉大学医学都農山医学研究施設
-
金子 勇
千葉大学医学部農山村医学研究施設
-
内田 昭夫
千葉大学医学部農山村医学研究施設
-
荒木 武雄
千葉大学農山村研究施設
-
内田 昭夫
千葉大学医学部公衆衞生学教室
-
柳沢 利喜雄
千葉大学医学部公衆衛生学教室
関連論文
- 農山村における関節リウマチの実態 : 第1報 集団検診
- 農山村における関節リウマチの実態 : 第2報 入院治療患者
- 29.アメリカ鉤虫の経口感染経路に関する研究 : (第1報)マウスにN.a.感染期仔虫を経口投与した場合(第38回千葉医学会総会,第7回千葉県医師会学術大会連合大会演説要旨)
- 山村および農漁村における肺癌の症例・対照研究
- 白アリ防除作業者の健康調査 : クロルデンの体内残留と健康影響
- 7.静岡県一山村における老人の生活と健康の実態(第532回千葉医学会例会・第6回衛生関連学会)
- 14. 母子保健に関する継時的研究(2) : 妊婦貧血の実態(第475回千葉医学会例会,第1回千葉大学衛生関連学会)
- 1202 へき地保健の向上に関する研究 (2) : 医療ならびに保健活動 (その1)
- へき地保健の向上に関する研究(2) : 医療ならびに保健活動(その1) : 要望課題37 へき地の健康対策とその問題点 : へき地(1)
- 循環器成人病スクリーニングにおける尿蛋白検査の評価に関する研究