韓國人 高血壓症의 疫學的 및 臨床的硏究 = Epidemiological and Clinical Studies of Hypertension in Koreans

다국어 초록 (Multilingual Abstract)

Epidemiological and clinical studies of hypertension were carried out and following results were obtained:
A. Epidemiological study of blood pressure in Koreans. The blood pressures in 14,699 cases (male 11,463, female 3,236) of apparently healthy Korean peoples were measured and following conclusions were obtained.
1) The systolic blood pressure was increased gradually according to the age in both sex and was higher in male than female of age under 40 year. However there was no significant difference between both sex in age over 40 year.
2) The diastolic blood pressure was increased gradually according to the age in both sex and was no difference in both sex.
3) The systoli blood pressure in urban people was higher than that of rural people. The diastolic blood pressure was same in both rural and urban people.
4) The incidence of hypertension by the criteria of 140/90 was increased gradually according to the age in both sex and was higher in male than female, however same in both sex after 70 year of age. The incidence of hypertension in male was higher in urban people and in female it was lower in urban people than rural people. In militay person it was higher than that of urban and rural people, however in prisonor it was same as that of urban people.
5) The incidence of hypertension over 150/90 was increased gradually according to the age in both sex. The incidence of hypertension in male was higher than female under the age of 60 year, however in over 60 year of age it was same in both sex. In male it was same in urban and rural people and in female it was higher in rural than urban people.
The incidence of hypertension of militay person was lower than that of rurual people.
6) The incidence of hypertension over 160/95 was increased with increasing age in both sex. In male it was higher than that of female under the age of 60 year, however in over 60 year of age it was same in both sex. In rural people it was higher than that of urban people. In military person it was same as that of urban people however in prisoner it was higher than that of urban and rural people.
B. Clinical study of hypertension in Koreans.
Clinical study of 3,453 cases (male 1,855, female 1,598) of hypertension were carried out and the following results were obtained:
1) The causes of hypertension were essential hypertension in 91.8％, nephritis in 5.4％, diabetes mellitus in 1.0％, and toxemia of pregnancy in 0.7％.
2) The highest incidence of essential hypertension was observed in 41~60 year of age and male and female ratio was 1.2:1.
3) The average blood pressure levels of essential hypertension was 170.4㎜Hg in systole and 102.7㎜Hg in diastole.
4) The family history was observed in 13.9％ of essential hypertension.
5) Frequent symptoms of essential hypertension were headache (34.6％), dyspnea (22.5％), dizziness (17.8％), chest discomfort (16.4％), and palpitation (15.4％). The symptoms were more frequent in younger and female patients than older and male patients.
6) Hypertensive retinopathy was seen in 90.8％ of essential hypertension and Keith-Wagener grade Ⅱ was seen in 38.7％, grade Ⅰ in 26.7％, grade Ⅲ in 20.0％ and gradeⅣ in 5.4％ of all cases.
7) The proteinuria appeared in 64.3％ of essential hypertension, abnormal B.U.N. in 23.6％, abnormal serum creatinine in 19.2％, abnormal Fishberg's urinary concentration test in 42.6％ and abnormal P. S. P. retention in 49.5％ of cases.
8) The average serum cholesterol level was 208.2㎎％, which was higher than that of healthy Koreans.
9) Cardiomegaly on roentgenogram was visible in 57.5％ of essential hypertension and calcification of the aorta in 4.8％.
10) The electrocardiographic abnormalities occurred in 54.5％ of essential hypertension. left ventricular hypertrophy in 33.1％, ST-T change in 6.6％, abnormal P in 4.8％, ventricular premature beat in 3.8％, atrioventricular block in 2.6％, auricular fibrillation in 2.4％ and myocardial infarction in 2.2％.
11) Cerebrovascular accident was most frequent complication in the essential hypertension. Cerebrovascular accident developed in 13.0％ of all cases, hypertensive heart disease in 7.8％, coronary heart disease in 1.4％ and renal failure in 0.5％.

목차 (Table of Contents)

• Ⅰ. 緖論
• Ⅱ. 硏究對象 및 方法
• Ⅲ. 硏究成績
• A. 高血壓의 疫學的 硏究
• 1. 性別, 年齡別 血壓平均値
• 2. 收縮期血壓 140mmHg 以上, 擴張期血壓 90mmHg 以上인 高血壓頻度
• 3. 收縮期血壓 150mmHg 以上, 張擴期血壓 90mmHg 以上인 高血壓頻度
• 4. 收縮期血壓 160mmHg 以上, 張擴期血壓 95mmHg 以上인 高血壓 頻度
• B. 高血壓의 臨床的觀察
• 1. 高血壓의 原因
• 2. 本能性高血壓의 性別, 年齡別頻度
• 3. 本能性高血壓의 性別, 年齡別 平均高血壓
• 4. 本能性高血壓의 家族歷
• 5. 本能性高血壓의 症狀
• 6. 本能性高血壓의 眼底所見
• 7. 本能性高血壓의 腎臟機能
• a. 蛋白質
• b. B.U.N.値
• c. 血淸 Creatinine 値
• d. Fishberg 氏 尿濃縮試驗
• e. P.S.P 排泄 試驗
• 8. 本能性高血壓의 血淸 Cholesterol 値
• 9. 本能性高血壓의 胸部 X-線 所見
• 10. 本能性高血壓의 心電圖所見
• 11. 本能性 高血壓의 合倂症
• 12. 本能性高血壓의 豫後
• Ⅳ. 考按
• Ⅴ. 結論
• 參考文獻