上海市虹桥社区门诊高血压患者用药分析

Analysis on anti-hypertensive drug usage in out-patients with hypertension in Hongqiao community of shanghai

[目的]调查上海市虹桥社区35岁以上门诊高血压患者药物治疗情况。[方法]从门诊网络系统资料库中获得1 844例高血压患者就诊记录,按年龄分组,分别对治疗率,达标率及降压药物使用情况进行分析。[结果]高血压患者治疗率较高,达68.3%,但其中大多数(51.2%)为单药治疗,联合用药仅占17.0%,总达标率较低,为20.7%。50岁以下年龄段患者治疗率和达标率最低(60.5%,9.0%)。[结论]社区高血压患者治疗率高而达标率低,这可能与单药治疗多,联合治疗少及使用传统复方制剂、短效钙离子拮抗剂等低价位降压药为主有关。

[ Objective] To investigate the usage of anti - hypertensive drug in out - patients over 35 years age with hypertension in Hongqiao community. [ Methods] Clinic network database of 1844 patients with hypertension of different age group were recorded. Treatment rates, rate of treatment that met the requirements, and the situation of usage of anti - hypertensive drugs were analyzed. [ Results] Treatment of hypertensive patients was as high as 68.3%, but the majority （ 51.2% ） had only a single - drug treatment. Combined drug accounted for only 17.0%. Patients below 50 years of agehad the lowest rate of treatment and treatment met the requirements （ 60.5% 9.0% ）. [ Conclusion] In this community the rate of treatment of hypertension was high, but treatment met the requirements was low, this may be related to single drug therapy, the use of less traditional compound, short -acting calcium antagonist as the main anti -hypertensive drug.