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目的:了解北京市城乡老年人抗高血压药物使用7年变化情况。方法:采用分层、随机、整群等距的抽样原则,于2000、2004和2007年3次选取北京地区≥60岁的2 832、1 828和2 277例老年人进行血压测量及相关资料的收集,应用χ2检验对不同性别、年龄、居住地区与高血压用药7年变化趋势进行单因素分析。结果:钙通道阻滞剂(CCB)、血管紧张素转换酶抑制剂(ACEI)、利尿剂和β-受体阻滞剂的使用逐年增多,而降压片的使用明显减少。结论:老年高血压病的治疗已不仅仅局限于降压,还要考虑防治并发症,提高高血压病患者的生命质量。
Objective: To understand the changes of antihypertensive drugs in urban and rural areas in Beijing for 7 years. Methods: The stratified, random and cluster equidistant sampling principles were used to measure blood pressure and related data of 2,832,1 828 and 2 277 elderly people ≥60 years old in Beijing in 2000, 2004 and 2007 The χ2 test was used to analyze univariate analysis of the 7-year trend of different gender, age, residential area and hypertension medication. Results: The use of calcium channel blockers (CCBs), angiotensin converting enzyme inhibitors (ACEIs), diuretics and β-blockers increased year by year, while the use of antihypertensive tablets was significantly reduced. Conclusion: The treatment of elderly patients with hypertension is not limited to blood pressure reduction, but also consider the prevention and treatment of complications and improve the quality of life of hypertensive patients.