仪征某社区部分高血压患者治疗方式调查

A survey of treatment patterns of high blood pressure.in parts of community in Yizheng

目的调查某社区高血压患者的人群特征和治疗方式,为更有效地实施社区医疗行为模式提供有价值的参考。方法调查一段时间内所有社区门诊就诊的高血压患者,严格收集患者资料。结果173例患者入选本研究,其中53.8%应用利尿剂,38.7%使用β阻滞剂,60.7%应用血管紧张素转换酶抑制剂(ACEI),45.1%用钙拮抗剂和26.6%用血管紧张素受体拮抗剂(ARB);联合用药比例较高,占67.1%;血压控制率较低,占28.9%,且随着危险程度提高,血压控制率反而下降。结论社区医院对高血压的防治既要以指南为根本,更要结合具体实际,制定切实有效的治疗方案。

Objective The purpose of this study is to investigate the demographic characteristics and the treatment pattern of patients with hypertension in part of community. Methods To investigate all the patients with hypertension in out - patient clinic in a period of time , and collect the information strictly. Results One hundred and seventy three patients were enrolled in this study , among them 53.8% patients were treated with diuretics; 38.7% with beta -blockers ; 60.7 % with angiotensin -converting enzyme inhibitors; 45.1% with calcium channel blockers and 26.6% with angiotensim Ⅱ receptor blockade ; the combine of Medication is 67. 1% , and the rate of blood pressure control is low , only to occupy 28.9%. Conclusion The propose of prevention and cure in hypertension in community hospital is not only to implement the well - recognized international guidelines ,but also to give a effective treatment prescription of all.