老年高血压1746例社区治疗分析

Analysis on community treatment of 1 746 elderly patients with hypertension

目的:探讨农村社区对老年高血压患者综合干预治疗的重要性。方法:对社区内的1 746例老年高血压患者进行综合干预治疗的临床资料进行分析总结。结果:综合干预治疗后吸烟和大量饮酒人数、摄取食盐的量明显减少;血压控制达标率明显提高。控制血压最常用的药物是钙离子拮抗剂;心痛定使用率出现下降趋势,而服用洛活喜的患者显著增多;服用卡托普利显著减少,而服用依那普利与科素亚的患者却明显增多。结论:农村社区对老年高血压患者进行综合干预治疗非常重要。加强健康教育、引导患者建立良好的生活习惯和加强治疗的依从性是农村社区防治老年高血压的最佳方案。

Objective:To explore the importance of comprehensive intervention therapy for elderly patients with hypertension inrural communities.Methods:The clinical data of 1746 cases of elderly patients with hypertension in the community treated bycomprehensive intervention therapy were analyzed and summarized.Results:After the comprehensive intervention treatment,thenumber of smokers and a large number of drinking,the amount of salt intake were significantly reduced.The compliance rate ofblood pressure control increased significantly.The most commonly used drugs to control blood pressure was calcium antagonist,there was a decrease in the rate of use of nifedipine,while the number of patients taking norvasc was significantly increased.Patients taking captopril decreased significantly,while taking enalapril and losartan increased significantly.Conclusion:Comprehensive intervention therapy is very important for elderly patients with hypertension in rural communities,strengthenhealth education,guide patients to establish good habits and strengthen the treatment compliance,which are the best schemes ofprevention and treatment for elderly patients with hypertension in rural communities.