目的:了解北京市边远山区农村高血压患者用药情况并对发现问题进行干预。方法:采用问卷调查及合理用药宣教的方式,对昌平边远山区农村高血压目标人群进行筛查,并对高血压患者的用药情况进行统计、分析。结果:参与调查问卷和高血压合理用药宣教的420名村民中高血压患者为232人,高血压患病率为55.2%,其中19例为高血压但未治疗者,213例为正在接受治疗的高血压患者。接受治疗的患者中有153名血压控制达标,达标率为71.8%。同时接受治疗患者中联合用药者占25.8%,单药治疗者占74.2%。调查发现高血压患者用药依从性良好的有97名,仅为45.5%。不按时服药和自行停药的患者占较高比例。服药依从性差的主要原因为感觉病情不重、无需用药,事务繁忙,药费太贵,无明显疗效等。结论:北京山区农村高血压患病率较高,患者服药依从性偏低,应加强用药依从性教育及干预,促进其坚持长期服药、科学合理用药,以达到有效、平稳控制血压的目的。 Objective: To understand the use of drugs in rural hypertensive patients in remote mountainous areas in Beijing and to find out the problems. Methods: By means of questionnaire survey and rational drug use and education, the target population of rural hypertension in remote mountainous areas of Changping were screened, and the medication situation of patients with hypertension was statistically analyzed. Results: Among the 420 villagers who participated in the questionnaire and rational drug use of hypertension, 232 were hypertensive patients with a prevalence of hypertension of 55.2%, of whom 19 were hypertensive subjects who were untreated and 213 were undergoing treatment Blood pressure patients. In the treatment of patients in 153 blood pressure control compliance, compliance rate of 71.8%. At the same time, 25.8% of the patients receiving combined treatment and 74.2% of the single drug treatment. The survey found that 97 patients with hypertension medication compliance, only 45.5%. Patients who did not take medication on time and discontinued themselves accounted for a high proportion. The main reason for poor adherence to medication was feeling the disease is not heavy, no medication, busy business, the drug is too expensive, no significant effect and so on. Conclusion: The prevalence of hypertension in rural areas of Beijing is relatively high, and patients’ medication compliance is low. Compliance education and intervention should be strengthened to promote their long-term medication and scientific and rational drug use in order to achieve effective and stable blood pressure control.