老年高血压患者血压控制状况及控制不良的因素分析

Present situation of blood pressure control in aged patients with hypertension and factors of poorly control of blood pressure

目的分析老年高血压患者的血压控制现状,探讨血压控制不良的相关因素。方法对350例原发性高血压患者口服降压药物进行分类调查,并观察血压控制情况。结果高血压服药率为95.78%,控制率为62.85%,血压控制不良的原因依次为顽固性高血压(30.2%)、依从性差(29.8%)、服用短效降压药(28.5%)、不良行为方式(5.1%)、白大衣高血压(2.9%)。有针对性治疗后血压改善与治疗前比较,差异有统计学意义(P<0.05)。结论根据不同原因治疗老年高血压患者具有重要的意义。

Objective To analyze the present situation of blood pressure control in aged patients with hypertension, and to explore the factors of poorly control of blood pressure.Methods 350 cases with primary hypertension were investigated according to categorization of orally antihypertensive drug.Results The taking rate of antihypertensive drug was 95.78%,and blood pressure control rate was 62.85%.The reasons of the poor control of the blood pressure were pertinacious hypertension(30.2%),poor compliance(29.8%),short-term drug(28. 5%),unhealthy life style(5.1%),and white coat hypertension(2.9%).After etiological therapy,blood pressure was controlled satisfactorily(P<0.05).Conclusion Etiological therapy has important significance to control hypertension well.