论文部分内容阅读
目的调查某社区高血压患者的治疗及血压控制情况,为更有效地实施社区医疗行为模式提供参考。方法调查一段时间内所在社区门诊就诊的高血压患者服用降压药的情况和当天测得的血压,判断血压是否正常与用药类别、措施及联合用药等的关系。结果173例患者入选本调查,高血压病控制有效率63·6%。其中属于单一用药的占32·9%,属于联合用药的占26·6%,应用复方制剂16·8%,未正规长期用药23·7%,并以未正规长期用药的血压控制率最低。在单一用药中以利尿剂、β-受体阻滞剂、血管紧张素转换酶抑制剂(ACEI)的血压控制率较低。结论高血压患者应坚持长期合理用药;对利尿剂、β-受体阻滞剂、血管紧张素转换酶抑制剂(ACEI)补多联合用药或使用复方制剂。社区医院应加大有效的社区健康教育,对高血压的防治,既要以“指南”为根本,更要结合具体实际,制定出切实有效的治疗方案,在现有使用的药物中探索个体化合理用药。
Objective To investigate the treatment and blood pressure control of hypertensive patients in a community and provide a reference for more effective implementation of community medical behavior patterns. Methods To investigate the relationship between the blood pressure and blood pressure in hypertensive patients who visited the outpatient community clinics in a period of time to determine whether the blood pressure is normal and the type of medication, measures and combination therapy. Results 173 patients were enrolled in the survey, effective control of hypertension 63.6%. Among them, 32.9% belong to single drug use, 26.6% belong to combined drug use, 16.8% use compound drug, 23.7% are not regular long-term drug use and have the lowest rate of blood pressure control in unofficial long-term medication. In a single medication with diuretics, β-blockers, angiotensin-converting enzyme inhibitors (ACEI) blood pressure control rate is low. Conclusion Hypertensive patients should adhere to long-term rational use of drugs; for diuretics, β-blockers, angiotensin converting enzyme inhibitors (ACEI) combined with more drugs or the use of compound preparations. Community hospitals should increase effective community health education, prevention and treatment of high blood pressure, it is necessary to “guide” as a fundamental, but also combined with the actual situation, to develop effective treatment programs, the use of existing drugs to explore the individual Rational use of medicine.