高血压患者用药情况及血压控制影响因素分析

封建平

西安工会医院神经康复科，陕西 西安，710100

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摘要：

目的 探讨高血压患者用药情况及血压控制的影响因素。方法 收集 2014年 5月至 2015年 10月本院收治的 172例高血压患者的临床资料进行回顾性分析，采用 Logistic回归分析模型分析影响血压控制的相关因素。结果 172例高血压患者服用降压药物率为 100.00% ，患者应用降压药物情况：应用最多的是 CCB（89/51.74%），应用最少的是复方制剂（11/6.40%）。172例中，76例（44.19%）血压控制效果良好。单因素分析显示：高年龄、低危心血管风险、公费+医保、联合用药、规律服药时间每年>9 个月的血压控制效果良好率较高（P<0.05）；Logistic回归模型分析结果显示：年龄约55 岁、自费+新农合、中高危心血管风险、未联合用药、每年规律服药时间臆9个月是影响高血压患者血压控制效果的危险因素（P<0.001）。结论 针对高血压患者，临床上主要应用 CCB、ACEI、茁 受体阻断剂等降压药物控制血压，但血压控制效果不佳；年龄约55 岁、自费+新农合、中高危心血管风险、未联合用药、每年规律服药时间臆9个月是影响高血压患者血压控制效果的独立危险因素。

关键词：高血压；用药情况；血压控制

中图分类号：R651.1文献标志码：A文章编号：2096-1413(2018)09-0017-02

Analysisofdrug usein hypertensivepatientsand factorsofblood pressurecontrol



FENG Jian-ping
(NeurologicalRehabilitation Department,Xi````an Union Hospital,Xi````an 710100,China)




ABSTRACT: Objective To investigate the drug use in patients with hypertension and the influencing factors of blood pressure control. Methods The clinical data of 172 hypertensivepatientsadmittedinourhospitalfrom May2014 to October 2015 were retrospectively analyzed. Logisticregression analysis was used to analyze the risk factors affecting blood pressurecontrol. Results The usage rate of antihypertensive drug in 172 hypertensive patients was 100.00% .Of the anti hypertensive drugs,the CCB was used most(89/51.74% ),and compound preparation was the least(11/6.40% ).Of the 172 patients,76 cases (44.19% ) had good blood pressure control.The factors analysis showed that high age,low cardiovascular risk, public health + medical insurance,combined medication, morethan 9 months regular medication time each year madeblood pressure control ratehigh (P<0.05).Logistic results showed that age＜ 55-year-old,ownexpence+new rural cooperative sevice,non- combined medication, middleand high risk cardiorascular risk, and less than 9 months regular medication each year were in dependent risk factors forblood pressure control in hypertensive patients(P<0.001). Conclusion For patients with hypertension, CCB,ACEI,β receptor blockers and otherantihypertensive drugs are mainly used to control blood pressure in the clinic,but the effects are poor. Age＜55-year-old,own expence+new rural cooperative sevice,non-combined medication,middle and high risk cardior as cular risk,and less than 9 months regular medication each year regular medication time are independent risk factors forblood pressure control in hypertensive patients.
KEYWORDS: hypertension; drug use; blood pressure control

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