疗效不佳的可能原因与对策首先,病人可能完全或部分不执行医嘱(不管是药物或非药物方面的嘱咐);其次,治疗不对症或不充分;药物相互拮抗(如在用降压药同时还用拟交感药或肾上腺皮质激素);出现停药综合征或因系症状性高血压而对降压治疗反应不好。另外,老年人的性格变化以及高龄后听力、视力、记忆力减退、对医嘱的理解不准确、周期性意识障碍造成的行为刻板等,都会妨碍系统、正规的治疗。所以,医护人员应该首先注意所开医嘱的完成程度,并尽量加强用药针对性和简化治疗药物及手续,要准确交代用法,还要吸收患者家庭成员关注治疗和协助观察、督促。另外,也要注意由于不遵守饮食规定、用药杂乱或肾功不良所致的钠、水潴留。病人体重短时间内增加0.8～1.0kg 可能就是这种 Possible causes and countermeasures for poor efficacy Firstly, the patient may be completely or partially not to perform a doctor’s advice (whether drug or non-drug); secondly, the treatment is not symptomatic or inadequate; drugs are antagonistic to each other Also used to be sympathetic or adrenal cortex hormones); withdrawal syndrome or due to the Department of Symptoms of hypertension and antihypertensive treatment does not respond well. In addition, changes in the elderly and old age hearing, vision, memory loss, the understanding of the doctor’s advice is not accurate, periodic disturbance of consciousness caused by stereotypes, etc., will hinder the system, the formal treatment. Therefore, health care workers should first pay attention to the degree of completion of the doctor’s advice, and try to strengthen the drug-targeted and streamline the treatment of drugs and procedures, to accurately explain the usage, but also to absorb the patient’s family members concerned about the treatment and to assist in observation and supervision. In addition, we must also pay attention due to non-compliance with dietary regulations, medication or kidney dysfunction caused by sodium and water retention. This may be the case if the patient’s weight is increased by 0.8 to 1.0 kg within a short period of time