高血压病人系统管理与疗效观察

System Management and Effective Observation with Hypertension Patients

为选择有效、简便、安全、价廉的降压药，将９４例高血压病人根据临床症状和既往用药史，分为非药物组、复方降压片加路丁组、寿比山组、尼莫地平组和尼莫地平加开博通五组。全部病人全程定期血压监测并记录。结果显示复方降压片加路丁组和尼莫地平加开博通组疗效较好于其它组，血压下降均值分别为３７．４ｍｍＨｇ／２６．７ｍｍＨｇ和３５．１ｍｍＨｇ／２８．２ｍｍＨｇ。９４例高血压病人真正血压得到控制由系统管理治疗前的９．５７％提高到管理治疗后的３８．３％。就基层高血压病人控制而言，在非药物治疗基础上加复方制剂、小剂量长期用药更为稳妥、实用。

According to the clinical symptom and histories used agents,94 hypertension patients were separated in non drug(ND),compound tablet reduced blood pressure plus Rutin(CTR),Indapamid(ID),Nimodipinum(NP) and Nimodipinum plus Caplopril(NPC) 5 groups to be choose a safe,cheap drug for antihypertension.The results showed that CTR and ND were better than other groups.The average of the values of blood pressure were reduced 37 4 mmHg/26 7 mmHg and 35 1 mmHg/28 2 mmHg respectively.The effective rate of hypertension was 38 3% than before the system management in the patients with hypertension.