宁波市某城市社区企业退休高血压患者降压药物使用情况调查分析

Survey on antihypertensive drugs in hypertensive patients retired from enterprise in a community of Ningbo city

目的探讨宁波市某城市社区企业退休高血压患者降压药物使用情况。方法抽取2020年9月至2021年2月海曙区白云街道社区卫生服务中心进行健康体检的1823名已治疗的高血压患者,依据患者报告和医疗记录,调查降压药物的使用情况。结果1823例高血压患者中,单药治疗者980例,占53.76%;联合治疗者843例,占46.24%,其中两联用药者649例(35.60%),三种或三种以上(多联)用药者194例(10.64%)。单药治疗者中,使用钙通道阻滞剂(CCB)者486例(49.59%),使用血管紧张素转换酶抑制剂(ACEI)/血管紧张素受体阻滞剂(ARB)者373例(38.06%),β受体阻滞剂(BB)者118例(12.04%),使用利尿剂者仅为3例(0.30%)。用药种类的综合分析表明,58.80%使用ACEI/ARB,53.37%使用CCB,19.42%使用BB,22.05%使用利尿剂,其他类型降压药物仅为1.32%。结论在宁波市一个社区企业退休高血压患者中,降压药物的使用总体上符合我国高血压指南的推荐,但利尿剂使用可能不充分。

Objective To explore the situation of antihypertensive drug in the treated hypertensives of a community.Methods From September 2020 to February 2021,1823 patients with hypertension who had been treated in the commu-ity health service center of Baiyun subdistrict in Haishu district were selected.According to the patient medical records,the use of antihypertensive drugs was investigated.Results In the 1823 hypertensives,980 cases(53.76%)were treated with single drug therapy and 843 cases(46.24%)were treated with combined therapy with two or more drugs.Within the single therapy,486 cases(49.59%)were treated with CCB,373 cases(38.06%)were treated with ACEI/ARB,118 cases(12.04%)were treated with BB,and 3 cases(0.30%)were treated with diuretics.A comprehensive analysis showed that ACEI/ARB was used in 58.80%of the hypertensives,CCB in 53.37%,BB in 19.42%,diuretic in 22.05%,and others only 1.32%.Conclusion In hypertensive patients retired from enterprise in a community of Ningbo cit,the use of anti-hypertensive drugs generally conforms to the recommendations of China's hypertension guidelines,but the use of diuretics may not be sufficient.