农村地区老年高血压降压药使用效果及影响因素探讨

The Use Effect and Influencing Factors of Elderly Hypertensive Antihypertensive Drugs in Rural Areas

目的:探讨农村地区老年高血压降压药使用效果及影响因素。方法:选择本地区2019年4月—2021年4月规律使用降压药物治疗老年高血压患者684例作为研究对象,根据降压药使用效果分为有效组及无效组,行单因素及多因素Logistic回归明确影响因素。结果:684例老年高血压患者规范使用降压药后血压得到有效控制者为272例(39.77%),以推荐药物及联合用药(双联、三联及以上)获有较高血压控制效果。经单因素及多因素Logistic回归分析显示,影响老年高血压患者降压药使用效果独立性风险因素为高血压分级(Ⅱ~Ⅲ级)、用药方案(单一)、饮酒(有)、吸烟(有)及务农劳动(无)。结论:本地区老年高血压患者降压药使用欠缺规范,血压控制效果有待提高,应侧重关注高血压分级高及用药方案单一患者,且强化日常行为,鼓励务农劳动有利于血压有效控制。

Objective:To explore the use effect and influencing factors of elderly hypertensive antihypertensive drugs in rural areas.Methods:A total of 684 elderly patients with hypertension who regularly used antihypertensive drugs in our region from April 2019 to April 2021 were selected as subjects.According to the effect of antihypertensive drugs,they were divided into effective group and ineffective group.Univariate and multivariate Logistic regression were used to identify the influencing factors.Results:Among 684 elderly hypertensive patients,272(39.77%)had effective blood pressure control after standardized use of antihypertensive drugs.The recommended drugs and combined drugs(double,triple and above)had better control effect on hypertension.Univariate and multivariate Logistic regression analysis showed that the independent risk factors affecting the use of antihypertensive drugs in elderly hypertensive patients were hypertension grade(Ⅱ-Ⅲ),medication regimen(single),drinking(or),smoking(or)and farming(or not).Conclusion:The use of antihypertensive drugs in elderly hypertensive patients in this region is not standardized,and the effect of blood pressure control needs to be improved.Attention should be paid to patients with high hypertension grade and single medication scheme,and daily behavior should be strengthened.Encouraging agricultural labor is conducive to effective control of blood pressure.