MDT Standardized Diagnosis And Therapeutic Program In The Southern Xinjiang Patients With Cushing Syndrome

Objective: 1.To understand the detection,diagnosis and treatment,blood pressure control of CS among people with high suspicion about secondary hypertension and knowledge of medical staff and people with high blood pressure by Cross-sectional study in the Third Division of southern Xinjiang.2.To Formulate,demonstrate and popularize a standardized MDT diagnosis and treatment plan suitable for CS and improve the CS awareness rate of medical staff and patients,CS visit rate,CS detection rate and CS blood pressure compliance rate in southern Xinjiang.Method: 1.The awareness rate of CS definition,etiological classification,etc.and MDT in the physician group and nursing group was generally low(P>0.05).2.The awareness rate,visit rate,detection rate and blood pressure compliance rate of CS in people with high suspicion of secondary hypertension in the Third Division Hospital of Southern Xinjiang were 5.1%,32.5%,0.1% and 11.0%,respectively,which were low generally.3.55 cases of CS including 47.3% males and 52.7% females were diagnosed clearly by formulating demonstrating and popularizing a standardized MDT diagnosis and treatment plan suitable for CS in southern Xinjiang,with a detection rate of 2.8%.The male-to-female ratio was 1:1.1.4.After the demonstration and promotion of standardized MDT diagnosis and treatment plan,the awareness rate of CS definition,etiological classification,etc.and MDT in the physician group and nursing group increased significantly(P<0.05);blood pressure,blood cortisol and 24 h UFC decreased significantly(P<0.05)in CS patients,the number of people with high salt,high fat,smoking and drinking decreased significantly(P<0.05),and the awareness rate,medical attendance rate,detection rate and blood pressure compliance rate of CS increased significantly.5.Univariate binary logistic regression analysis: smoking history,drinking history,and family history of hypertension were risk factors for CS in hypertensive patients(P<0.05).Conclusion:1.The awareness rate of CS among medical staff and patients,the detection rate and blood pressure compliance rate of CS patients are low.There is a lack of CS standardized MDT diagnosis and treatment team in southern Xinjiang.2.After demonstration and promotion of the CS standardized MDT diagnosis and treatment plan,the awareness rate of CS by medical staff and patients,the rate of medical attendance rate and blood pressure compliance rate of CS patients increased.And the detection rate of CS in people with high suspicion of secondary hypertension also increased.3.Screening for family history of hypertension is helpful for early detection and diagnosis of CS,and smoking cessation and alcohol cessation help prevent and treat CS.