高血压患者于门诊治疗血压控制达标的情况及其影响因素分析

Analysis of Outpatient Treatment Reaching Standard and Influence Factors on Pressure Control in Hypertension

目的本研究主要就高血压患者行门诊治疗后的血压控制达标情况展开分析,并对其相关影响因素进行探讨。方法以我院门诊2013年11月-2014年11月所收治的120例高血压患者作为研究对象,对患者的相关资料进行调查、记录,对其血压控制达标率进行统计,采用Logistic回归分析来对影响门诊血压控制达标率的相关因素进行分析。结果本研究所有患者的血压控制总达标率为34.16%,达标患者主要集中在心血管专科就诊患者中,该人群的钙离子拮抗剂(CCB)使用量较大,β受体阻滞剂的使用量次之,在1级血压达标患者中,有62例患者采用单一药物来进行治疗,2种药物连用的血压控制达标率为44.17%;Logistic分析结果显示CCB、心内科专科随诊是导致高血压控制达标的独立因素,高收缩压史是导致血压控制不达标的独立危险因素。结论为了使门诊高血压药物治疗的血压控制达标,就必须定期开展心血管专科门诊随诊,并对患者的治疗方案进行及时调整;最好选用药物联合应用的方式来进行治疗,且在联合用药中,最好含有CCB。

Objective To analyze outpatient treatment reaching standard and influence factors on pressure control in hypertension. Methods A total of 120 cases with hypertension in our hospital outpatient from November 2013- November 2014 were selected as the study object, to investigate and record the patient＇s relevant information and to make statistics on its compliance rate of blood pressure control. Logistic regression analysis related factors influencing blood pressure control clinic compliance rate were analyzed. Results In this study, all patients with blood pressure control overall compliance rate was 34.16%, mainly in the cardiovascular patient compliance specialist treatment patients, the larger population calcium antagonist（CCB） usage, ？-blocker use the amount of the second, in a standard blood pressure patients, 62 patients were treated with a single drug for treatment, two drugs used in conjunction with blood pressure control compliance rate was 44.17%; Logistic analysis showed that CCB, Cardiology specialist follow-up is leading to high independent factors standards of blood pressure control, high systolic blood pressure history is an independent risk factor for blood pressure control is not compliance. Conclusion For the outpatient drug treatment of hypertension blood pressure control compliance, we must conduct regular cardiovascular specialist outpatient follow-up, and treatment options for patients to make timely adjustments. The best way to use drugs is drugs combination, which preferably CCB contained.