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目的对陕西某高校高血压患者心率管理情况进行调查与分析,为后期规范治疗提供依据。方法通过调研问卷方式获得患者性别、年龄、高血压病病程、是否有合并症、是否使用β受体阻滞剂及使用种类、剂量、服用时间,安静休息5 min后测量右侧肱动脉血压及心率并记录。结果该高校高血压病患者使用β受体阻滞剂者心率达标率(64.25%)较未使用者高(36.36%),但总体使用率较低(47.48%);单纯高血压病、合并慢性肾病、合并2型糖尿病组β受体阻滞剂者使用率及达标率较合并冠心病、合并心力衰竭组低,5组心率达标率波动于59.72%~79.03%,根据β受体阻滞剂服用时间分组发现,服用时间超过1年以上的患者心率达标率可达70%以上。结论为降低高血压患者的并发症发生率及死亡率,应增强该校临床医师心率管理意识,加强心率治疗指征、控制范围、药物选择及其不良反应、个体化治疗等的培训,提高该校高血压病患者的生存质量及生存率。
Objective To investigate and analyze the heart rate management of hypertensive patients in a university in Shaanxi Province, and provide the basis for the standardization of treatment in the later period. Methods The patients’ gender, age, duration of essential hypertension, whether they had comorbidities, whether or not to use β-blockers and the type, dosage and duration of the patients were measured by questionnaires. The right brachial artery blood pressure Heart rate and record. Results The prevalence of heart rate was higher in non-hypertensive patients (64.25%) than that in non-users (36.36%), but the overall rate of use was lower (47.48%). Hypertensive patients complicated with chronic Nephropathy, type 2 diabetes mellitus patients with β-blocker use rate and compliance rate than the combined coronary heart disease, combined with heart failure group, 5 group heart rate compliance rate fluctuations of 59.72% ~ 79.03%, according to β-blockers Taking the time group found that patients taking more than 1 year heart rate compliance rate of up to 70%. Conclusion To reduce the incidence of complications and mortality in hypertensive patients, we should enhance the school physicians’ awareness of heart rate management and enhance the training of indications, control scope, choice of drugs, adverse drug reactions and individualized treatment, The Quality of Life and Survival of Hypertensive Patients.