The mass medical examination for hypertension to dwellers in agraian districts of Shizuoka Prefecture had been conducted for three years. Yearly changings of hypertensive level and findings in electro-cardiographs, ocular bottoms and urins of those who were taken medical examinations continuously for three years were investigated, and the health care of the hypertensive patients who were found out by the examination was also studied. The results of the investigations are as follows : 1) About the group of the subjects examined continuosly for three years : The fall of the hypertensive level of this group was not noticed in the first health care year, but in the second year of it the fall of the level was admitted except 70 year of age group. This difference seems to be based on the fact that in the first health care year medical guidance for subjects was done only once, on the contrary, in the second year of it the guidances were conducted more frequently checking subjects at least once a month. Considering from the fact stated above, the guidance obtained from only one medical examination didn't give the satisfactory effect, but the repeated guidances, for instance, monthly hypertensive checkings seemed to be more effective to the improvement of the hypertensive level of the subjects, Concerning the changes of the findings in various medical examinations, a little of improvements in electrocardiographs, ocular bottoms were seen, but the improvements of findings in urin could not be noticed. 2) About the result of the investigation into the rate of taking medical treatments : A) There were some subjects who didn't recieve any medical treatments even though they were diagnosed as patients who should recieve the treatments. The reason why they didn't recieve the treatments was based on the lack of subjective symptoms. B) In case that the hypertensive patients were directed for only once afterx the mass examination, half of the patients stopped the treatments within 2 months. Seeing the facts were, the one time's health guidance just after the examination was not so effective, but further guidances, for instance, 3 months after the inspection was assumed to be more effective in view of preventing the patients stopped the treatments. 3) It seemed to be necessary to elevate the treatment rate of the hypertensive group for improving the hypertensive level. 4) It was easy to make down the hypertension of the newly found group, in comparison with that of old group. 5) The rate of changing into the hypertensive group from the normal group in the first health care year under the 3 years inspections was 32.7°0, and old people were apt to become hypertensive.
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