农村老年人群降压药物使用及趋势

The use of antihypertensive drugs and trend in rural elderly population

目的:研究、观察农村老年人群的降压药物使用情况以及趋势。方法:选取本地农村地区60岁以上使用降压药物的老年患者840例,进行药物使用情况调查,每隔1年统计1次数据,从而分析近几年的变化趋势。结果:近年来噻嗪类利尿剂加利血平或可乐定等传统短效复方制剂的使用呈现明显的下降趋势;钙通道阻滞剂、血管紧张素受体拮抗剂或血管紧张素转换酶抑制剂的使用呈现上升趋势。结论:传统复方制剂虽然呈逐年下降的趋势,但仍是目前广大农村地区应用最为广泛的降压药物。需进一步调查,从而寻找更适合农村老年患者的长期、有效的治疗方案。

Objective:To study and observe the use of antihypertensive drugs and trend in rural elderly population.Methods:Weselected 840 elderly patients over the age of 60 who use of antihypertensive drugs in the local rural areas.We investigated the useof the drug,and we count data 1 times every year,in order to analyze the change trend in recent years.Results:In recent years,thiazide diuretics and reserpine or clonidine and other traditional short acting compound use decreased.Calcium channel blockers,angiotensin receptor antagonists or an angiotensin converting enzyme inhibitor use showed a rising trend.Conclusion:Although thetraditional compound showed a downward trend,it is still the most extensive antihypertensive drugs in vast rural areas.We needfurther investigation in order to find a more suitable treatment program for rural elderly patients with long-term effective.