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柳東俊 慶熙大學校 1985 論文集 Vol.14 No.-
The author studied on the prevention of hypertension epidemiologically, particularly by reviewing the large body of accumulated knowledge those epidemiologic elements considered relevant to the population control of hypertension and its sequelae. Therefore, epidemiologic research into risk factors for hypertention and their potential contribution to primary prevention is also emphasized in this study. The results of the study were summarized as follows: 1. The epidemiologic evidence is consistent with hypertension as the major known risk factor for adult cardiovascular morbidity and premature mortality from coronary heart disease and stroke. 2. Hypertension in populations represents the higher ranges of the graded characteristic of blood pressure, and risk of morbidity varies directly with level of pressure. 3. Most instances of hypertension in populations are responsive to simple pharmacologic regimens supplemented by general hygienic measures. Concurrent management of other cardiovascular risk factors, particularly smoking and dietary induced hypercholesterolemia, is probably required for prevention of coronary heart disease. 4. The recent accelerated decline in hypertension-related mortality in the developed countries such as the United States suggests that some of the decrease of attributable to hypertension control, the potential for further improvement is considerable as the majority of hypertensives are not currently under control. 5. Pragmatic research in primary prevention is beginning, utilizing the epidemiologic knowledge of risk factors for hypertension: high-risk groups can be identified based on obesity, family history, race, and sight elevation of blood pressure within the normal range, and intervention strategies can be applied based on dietary restriction of salt and calories supplemented by hygienic measures, including both exercise and relaxation.