复发性脑梗死合并高血压患者使用降压药情况的调查

Investigation of Antihypertensive Drugs in Patients with Recurrent Cerebral Infarction Complicated with Hypertension

目的分析复发性脑梗死合并高血压患者使用降压药情况。方法选取120例于2013年8月—2014年8月期间该院接收的复发性脑梗死合并高血压患者,均填写问卷调查表,观察用药情况及分析用药不规范的原因。结果 120例复发性脑梗死合并高血患者住院期间均接收降压治疗,其中78例(65.0%)出院后降压药依从性差,其中43例(35.83%)可坚持服用降压药,但常自行更改剂量和药物种类;25例(20.83%)患者间断服用降压药,10例(8.3%)未服用降压药物,引起78例不规范用药的原因有不良反应、认识不足、药物较多、用药缺乏监督等。结论脑梗死合并高血压患者降压药使用不规范的比例较大,降压达标率较低,应针对服药不规范的原因给予相应的健康教育,以提高依从性。

Objective Analysis of recurrent cerebral infarction using medications in patients with hypertension. Methods Select 120 cases in August 2013 to August 2014 during our receive recurrent cerebral infarction in patients with hypertension, fill in the questionnaire, observation of drug utilization and the reasons for the analysis of drug use is not standard.Results 120 patients with recurrent cerebral infarction combined high blood during hospitalization were receiving treatment,78 cases（65.0%） after discharge blood pressure medication adherence is poor, 43 cases（35.83%） can insist on taking blood pressure medication, but often to change the dose and drug category; 25 cases（20.83%） patients stopped taking blood pressure medication, 10 cases（8.3%） is not taking antihypertensive drugs, the causes of 78 cases of non-standard drug adverse reactions, inadequate understanding, lack of supervision and more drugs, medication, other. Conclusion Cerebral infarction with hypertension antihypertensive drug use non-standard larger proportion, step-down success rate is low, should be aimed at the cause of the medicine is not standard give corresponding health education, in order to improve the compliance.