社区高血压患者血压控制及降血压药物使用情况

Analysis of Status of Controlling Blood Pressure and Anti-hypertensive Drugs Used in Community Hospital

目的调查社区高血压患者血压控制及降压药物使用情况,为社区高血压患者的治疗提供参考。方法按照单纯随机抽样的方法,对6个社区的600名高血压患者采取问卷调查方式。结果①社区高血压患者血压控制率为54.51%,27.26%的患者有合并症或并发症;②使用的降压药物分类结果显示,钙离子拮抗剂居首位,有43.28%的患者使用,其次为复方降压药、ACEI类药物,分别有38.43%和25.18%的患者使用,其他降压药如利尿剂、β-受体阻滞剂等应用相对较少;③23.88%的患者单用一种复方降压药物,29.48%的患者单用一种降压成份药物,34.33%的患者进行非复方联合用药,而12.31%的患者进行复方制剂联合用药。结论社区血压控制率较低,所用的降压药物种类分布基本合理,但联合用药相对普遍,部分患者存在重复用药现象。建议加强社区高血压的健康教育,提高血压控制的效果。

Objective To assess the current status and trend of the use of anti-hypertensive drugs in chaoyang district guilin community health service center of changchun.Methods1000 patients with hypertension in 10 communities were selected in random and were investigated by questionnaires.ResultsThe blood pressures were controlled well in 54.04% of the patients with hypertension,and there were 27.60% of patients who had other diseases.Calcium channel blockers were used most popularly with a utilization rate of 43.22%.Compound formulation and ACEI were in the second and third places with utilization rates of 38.41% and 24.97% respectively.Other hypertensive drugs were used seldom such as diuretics and-receptor blockers.23.85% of patients took one compound formulation,29.45% of patients took one drug which contained one active compound,37.74% of patients took not less than two drugs which contained one active compound,and 14.56% of patients took not less than two compound formulations.ConclusionThe rate of controlling blood pressure is low,but the drug usage of hypertensive patients is rational basically.Combined usage of anti-hypertensive drugs is popular,but some patients repeat the usage of compound formulations.That suggests health education of hypertension be enhanced to improve the effect of controlling blood pressure.