老年高血压血压控制不良原因分析及对策探讨

Reason Analysis on Poor Control of Blood Pressure in Elderly Patients and Its Solution

目的调查分析高血压控制不达标因素及对策探讨。方法对272例经反复治疗血压仍不达标的患者采取问卷式调查方法分析不达标原因,观察针对性治疗前后血压控制情况并作对比分析。结果血压控制不良因素为:服药依从性差(76.47%),高血压防治知识缺乏(39.34%),缺乏血压监测(45.22%),不良生活方式(40.81%),经济能力差(15.81%),合并其他疾病(26.84%)。有针对性治疗后,血压显著改善,血压控制率提高(P<0.01)。结论针对血压控制不良因素治疗高血压对血压达标有重要意义。

Objective To investigate and analyze the reasons of poor control of blood pressure, and to explore its coun- termeasures. Methods Totally 272 refractory hypertension patients with repeated blood pressure- lowering therapy were investigated by questionnaire and the reasons for poor control of blood pressure were analyzed. The status of blood pressure control before and after etiology- targeted treatment was observed and compared. Results The reasons for poor control of blood pressure were as follows： poor compliance （76.47%）, lack of knowledge in prevention and treatment of hyperten- sion （39.34 % ）, scarcity of blood pressure monitoring （45.22 % ）, unhealthy life style （40.81% ）, poor economic situation （15.81% ）, and other concomitant diseases （26.84 % ）. There was significant improvement in blood pressure control after etiology- targeted care （P〈 O. 01）. Conclusions Therapies targeting the reasons by which hypertension do not respond to conventional treatment are of great importance in good control of hypertension.