Issue: 2016, Vol. 21, No. 3
THE ORGANIZATION OF PROFOUND PROPHYLACTIC CONSULTATION AND ITS EFFICACY ESTIMATION IN PATIENTS WITH ARTERIAL HYPERTENSION AT GENERAL PRACTITIONER’S DISTRICT
- Keywords
- profound prophylactic consultation, arterial hypertension, vascular wall hardness, risk factors, cerebral disorders
- Abstarct
- Objective - to study the effectiveness of profound prophylactic consultation in patients with arterial hypertension at general practitioner’s district. Material and methods. 83 patients with arterial hypertension of II stage with achieved normotony were examined; all of them were under dispensary observation of general practitioner. Risk factors, clinical signs of cerebral disorders, vascular wall hardness were evaluated in all patients. The profound individual prophylactic consultation was carried out twice a year (it included the discussion of the information, calculation of individual risk factors, studying of concrete skills of health status control). Results. Modified risk factors (hypodynamia, excessive body mass, excessive table salt consumption, smoking etc.) which were combined with deterioration of elastic properties of vascular wall and manifested endothelial dysfunction were frequently revealed in patients with arterial hypertension before profound prophylactic consultation. The diminishment of the manifestations of hypodynamia, heightened table salt consumption, body mass index, hypercholesterolemia, hyperglycemia was marked in 6 months after the consultation. Further decrease of the manifestations of modified risk factors was stated in one year and it was combined with the improvement of elasticity properties of vascular wall and diminishment of endothelial dysfunction manifestation. Conclusions. The profound prophylactic consultation at general practitioner’s district for 2 times per year allowed to decrease the influence of modified risk factors and it was combined with the improvement of vascular wall elasticity and the decrease of endothelial dysfunction manifestation.
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