高密市社区老年高血压患者降压药使用状况调查

Analysis on the application status of antihypertensive drug among community elderly patients with hypertension in Gaomi city

目的 调查分析社区老年高血压患者降压药物使用情况。方法 根据基层社区高血压药物应用调查数据，总结患者用药的各种表现及原因，提出改进意见。结果 调查1487例老年高血压患者，332例未治疗，1155例使用降压药物治疗的患者不合理用药占77．4％。影响药物合理应用的主要因素包括：高血压患者人群对高血压重视程度、相关知识知晓率低，缺少规律的专业性用药指导，经济因素及药物不良反应等。结论 高血压社区药物治疗存在问题较多，社区高血压防治工作亟待加强。

Objective To analyse the application status of antihypertensive drug among community elderly patients with hypertension in Gaomi city. Methods Based on the investigation data of antihypertensive application in communities, various manifestations and the causes of antihypertensive application in community elderly patients are summarized, and the improvement proposals are put forward. Results A total of 1487 elderly patients with hypertension were investigated, 332 of them were untreated, among 1155 patients who received drug therapy the irrational drug use ratio was 77.4%. The main factors that caused the rational use of antihypertensive drug include： patients paid little attention to hypertension , they usually had little knowledge of this disease, and they lacked of professional guidance, as well as other factors such as economic factors, adverse drug reactions, et al. Conclusions There are many problems consist in community hypertension drug therapy, and it is necessary to strengthen the work of community hypertension control.