高血压合并糖尿病患者降压用药情况调查分析

Investigation and analysis of diabetic hypertensive patients taking antihypertensive drugs

目的:了解高血压合并糖尿病患者的用药现状,分析其降压药物使用情况,为合理治疗提供依据。方法:将入选病例分为观察组(高血压合并糖尿病)和对照组(未合并糖尿病),回顾性调查两组患者降压药物使用情况,包括降压药的使用种类、频率及联合用药情况。结果:观察组降压治疗方案中使用较多的是血管紧张素转换酶抑制剂(A-CEI)和血管紧张素Ⅱ受体阻断药(ARB),其平均服用降压药物种类要显著多于对照组(P<0.05)。结论:对于合并糖尿病的高血压患者,应综合分析其危险水平、降压疗效、对临床终点事件的影响、治疗的依从性和安全性及经济状况等,构建合理的治疗方案。

Objective：To investigate the drug use situation of diabetic hypertensive patients and analyze their use of antihy- pertensive drugs, to bring gist for reasonable treat. Methods： The selected patients were divided into observation group（dia-betic hypertensive patients） and control group （no diabetes）.To investigate their use of antihypertensive drugs retrospectively, including kind, frequency and unit used condition. Results： ACEI and ARB were frequently used in the treatment scheme of observation group, whose kind of antihypertensive drugs were obviously more than control group（P〈0.05）. Condusion： In order to set up reasonable treatment scheme of diabetic hypertensive patients, we should comprehensively analyze their risk level, antihypertensive effect, the influence to clinical terminal event, compliance, safe and economic situation.