一、前言近年来,多数发达国家的脑卒中死亡率都在下降。在日本,脑血管病的死亡率已由首位降到第三位。在美国,70年代与50年代相比,高血压的患病率也在下降,尤以女性更为明显,这也与近年来脑卒中发病率的减少有关。而在中国的台湾,1972年到1983年12年间,并未出现脑卒中死亡率的下降,这主要是由于脑出血的高发病率和高死亡率所致。因此,加强都市以外地区高血压病人的管理是很重要的。芬兰是世界上缺血性心脏病死亡率最高的国家。 I. Introduction In recent years, the death rate of stroke in most developed countries has been declining. In Japan, the mortality rate of cerebrovascular diseases has dropped from the top to the third place. In the United States, the prevalence of hypertension is also declining in the 1970s compared with the 1950s, especially in women, which is also related to the reduced incidence of stroke in recent years. In Taiwan, China, however, there was no decline in stroke mortality from 1972 to 1983, mainly due to the high incidence of cerebral hemorrhage and high mortality. Therefore, to strengthen the management of hypertensive patients outside the city is very important. Finland is the country with the highest mortality from ischemic heart disease in the world.