城市社区医院门诊高血压患者用药情况调查

Medication status of outpatients with primary hypertension in urban community

目的了解城市社区门诊高血压患者的用药情况,为进一步控制高血压提供科学依据。方法选取中国14个城市部分社区门诊高血压患者,调查他们的一般情况、患病及服药情况等。结果共调查高血压患者11 861例,平均年龄(58±13)岁,男性占47.3%;正在服用降压药8 295例,占69.9%;其中使用单药治疗患者占40.8%,使用1种固定剂量复方制剂(FDC)患者占38.5%,使用≥2种药物治疗者占20.7%;在服用的降压药中,FDC比例最高,为44.7%,其余依次为钙拮抗剂占25.1%,血管紧张素转换酶抑制剂占10.4%,利尿剂占7.9%,β受体阻滞剂占4.2%等;社区门诊高血压患者的血压控制率为13.5%,门诊服药患者的血压控制率为17.5%。结论固定剂量复方制剂和钙离子拮抗剂是我国城市社区门诊高血压患者的常用降压药;门诊高血压患者的血压控制率较低,应从多方面采取措施改善高血压患者的血压控制情况。

Objective To investigate the medciation status of outpatients with primary hypertension in urban community,China.Methods Questionnaire investigation and physical examination were conducted among outpatients with primary hypertension in 14 cities in China.The investigation items included general characteristics,history of diseases,and medication status.Physical examination included detections of blood pressure,heart rate,height,weight,biochemical test and electrocardiograph.Results A total of 11 861（male 47.5%） patients were investigated.The average age of the patients was58±13 years old.Of all the participants,69.9% were under treatment.There were 40.8% of patients using a single drug,38.5% taking one kind of fixed-dose combination,and 20.7% using two or more drugs.The most frequently used medication regime was fixed-dose combination（44.7%）,calcium channel blocker（25.1%）,angiotensin converting enzyme inhibitor（10.4%）,diuretic（7.9%）,and β-blocker（4.2%）.The total hypertention control rate was 13.5%,and the control rate of those who under treated was 17.5%.Conclusion Fixed-dose combination and calcium channel blocker are the most popular anti-hypertensive drugs in community hypercensives.The control rate of outpatient with primary hypertension is low.It is necessary to strengthen community health education.