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目的:了解高血压患者的用药及血压控制情况。方法:根据病历和体检记录调查103例某干休所老年高血压的降压药服用情况和体检当日偶测血压,判断血压是否正常及与用药类别及联合用药的关系。结果:高血压病治疗有效率达100%,其中单用及联用钙拮抗剂为28.16%、55.34%,其他类单用及联用为13.69%、7.77%,降压达靶血压水平占71.84%。结论:钙拮抗剂仍为使用最多的降压药(83.5%),多数患者需要联合用药。本组宜于老年高血压的长效制剂和利尿剂使用较少。建议在现有使用药物中探索个体化合理用药,以进一步提高疗效。
Objective: To understand the medication and blood pressure control in hypertensive patients. Methods: According to the records of medical records and physical examinations, 103 cases of elderly hypertension in a dry-rest hospital were investigated for taking antihypertensive drugs and the blood pressure was measured on the day of physical examination to determine whether the blood pressure was normal and its relationship with the type of medication and the combination. Results: The effective rate of hypertension treatment was 100%. The single and combined calcium antagonists were 28.16% and 55.34%, while the others were combined and used only 13.69% and 7.77% respectively. The target blood pressure was 71.84 %. CONCLUSIONS: Calcium antagonists are still the most commonly used antihypertensive drug (83.5%), and most patients require combination therapy. This group should be used in elderly hypertensive agents and diuretics use less. It is advisable to explore the rational use of medicines in the existing use of drugs to further enhance the efficacy.