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[目的]探讨我院门诊高血压的降压治疗现状、控制率及血压控制不良原因。[方法]采用自制的调查表,在患者知情同意原则下,对1450例门诊就医高血压病患者进行了调查研究,经过1年的随访观察血压控制情况。[结果]高血压总控制率为63.24%(917/1450),不同性别高血压患者血压控制率差异无统计学意义(P﹥0.05)。但不同类型高血压控制率却有统计学差异(P﹤0.05),其中Ⅰ型高血压控制率最高为93.44%(456/488),Ⅲ型高血压控制率最低为44.66%(184/412)。本研究533例高血压病患者血压控制不良,其原因主要为:依从性差;监测血压次数少;服用短效降压药;顽固性高血压;经济原因。[结论]通过对高血压病患者的综合管理,及早诊断、有效治疗、持续规律服药、定期监测血压、随时调整药物,才能有效控制血压。
[Objective] To investigate the current situation of antihypertensive therapy in our hospital outpatient hypertension, control rate and reasons of poor blood pressure control. [Methods] A self-made questionnaire was used to investigate and investigate the control of blood pressure in 1450 outpatients with hypertensive disorder under the principle of informed consent. [Results] The total control rate of hypertension was 63.24% (917/1450). There was no significant difference in the rate of blood pressure control among different sexes (P> 0.05). However, there were significant differences in the control rates of different types of hypertension (P <0.05), of which the highest rate of type I hypertension was 93.44% (456/488) and the lowest rate of type III hypertension was 44.66% (184/412) . The study of 533 cases of hypertension in patients with poor blood pressure control, the main reasons are: poor compliance; less blood pressure monitoring; taking short-acting antihypertensive drugs; refractory hypertension; economic reasons. [Conclusion] Through the comprehensive management of patients with hypertension, early diagnosis, effective treatment, regular medication, regular monitoring of blood pressure, adjust the drug at any time in order to effectively control blood pressure.