社区高血压患者的药物应用与依从性关系分析

目的探讨社区高血压患者药物应用情况及依从性。方法应用专门制定的调查表对2010年886例社区高血压患者的药物应用情况及依从性进行调查分析。结果在886例服用药物治疗的社区高血压患者当中,服用率相对比较高的药物主要有硝苯地平、复方降压片、卡托普利以及倍他乐克;其中服用硝苯地平患者276例,约为31.15%;服用复方降压片患者259例,约为29.23%;服用卡托普利患者207例,约为23.36%;服用倍他乐克患者131例,约为14.79%。服用血管紧张素转换酶抑制剂、交感神经阻滞剂患者的依从性相对较好,其中27例应用交感神经阻滞剂治疗患者当中,16例患者依从性良好,约为59.26%;83例应用血管紧张素转换酶抑制剂患者中,有39例患者依从性良好,约为46.99%;其次为复方制剂及钙拮抗剂,依从性良好率分别约为36.57%、33.33%。结论社区高血压患者以复方制剂为主要治疗药物,因而应当积极研制新的长效复方制剂,改善高血压患者药物治疗的依从性。

Objective To observe the use of anti-hypertensive and to evaluate the compliance of patients at community.Methods To interview patients with special questionnaire in order to evaluate the compliance of 886 cases of patients in 2010.Results Among 886 cases of patients at community,there are 276 patients taking nifedipine in 886 patients,accounting for 31.15%;259 patients taking combination of drugs,accounting for 29.23%;207 patients taking captopril,accounting for 23.36%;131 patients taking metoprolol,accounting for 14.79%;there are 27 patients taking sympathetic nerve blockers in 886 patients,the compliance of patients is 16,accounting for 59.26%;83 patients taking ACEI,the compliance of patients is 39,accounting for 46.99%.The compliance rates of patients taking combined antihy pertensive drugs and calcium antagonsis are 36.57% and33.33%.Conclusion The compound medicine of antihypertension is mainly taken by patients in community,which is helpful to improve the compliance of patients.So some new long effect of compound drug must be developed in future.