老年糖尿病合并高血压患者的用药调查及依从性分析

Analysis of Medication Investigation and Compliance in Elderly Diabetic Patients with Hypertension

目的:对老年糖尿病合并高血压患者的用药情况进行调查,并对患者的用药依从性进行分析,为合理治疗提供依据。方法:对2012年1月-2013年1月期间我院100例糖尿病合并高血压患者,使用自行设计的调查问卷对患者的用药情况和用药依从性进行调查分析。结果:降压治疗方案中使用较多的是钙通道阻滞药(CCB)和血管紧张素转换酶抑制剂(ACEI),其使用频率明显高于其他种类药物。病程<10年的患者服药依从率为21.9%,病程≥10年的患者服药依从率为33.8%。结论:对于老年糖尿病合并高血压患者,应从降压疗效、用药情况、治疗的依从性及经济状况等方面进行考虑,从而构建安全合理的治疗方案。

OBJECTIVE： To investigate the medication of elderly diabetic patients with hypertension, and to analyze the compliance of medication so as to provide reference for rational treatment. METHODS： Total 100 elderly diabetic patients with hypertension in our hospital from Jan. 2012 to Jan. 2013 were analyzed by self-designed questionnaire about medication and compliance. RESULTS： CCB and ACEI were frequently used in the antihypertensive treatment, and the frequency of them was significantly higher than that of other types. The medication compliance rate was 21.9% among patients with a course of disease under 10 years, while it was 33.8% among those with a course of disease equal to and over 10 years. CONCLUSIONS： In order to set up reasonable and safe treatment scheme of elder/y diabetic patients with hypertension, we should comprehensively analyze antihypertensive effect, situation of medication, compliance and economic situation.