Abstract:
To improve the treatment efficiency and
clinical management of patients with hypertension in primary
health care. Material and methods: A post factum
analysis of data (over the past five years) was conducted
on 222 randomly selected case histories of patients with
arterial hypertension registered in family clinics (n=54)
and in some rural medical outpatient clinics of the Republic
of Uzbekistan (n=168). The results of the case histories
analysis were compared with the results of patient
examination (questionnaires, medical examination, anthropometry,
blood pressure measurement, cholesterol
level determination, etc.). The survey included physicians
of Tashkent polyclinics and physicians of rural medical
outpatient clinics of the republic who had undergone
10-month retraining courses for general practitioners.
Results: Based on the anamnesis data, anthropometry
and laboratory and instrumental studies (ECG, ophthalmoscopy,
cholesterol, sugar and creatinine levels in the
blood), an algorithm for an electronic program for personal
dynamic monitoring of patients with hypertension
was created. Conclusions: The created algorithm will allow
identifying the risk of complications of the disease at
early stages of their development and conducting appropriate
(adequate) treatment