关键词: 社区, 高血压药物治疗, 血压达标率

Abstract: Objective To investigate and analyse the medication and blood pressure control of patients with hypertension in Yuetan community. Methods During June 1, 2018 to January 31, 2019, totally 504 patients with hypertension from the community were investigated, by questionnaire to survey the medication, The blood pressure of patientswere checked by clinic measurement and their history and records were reviewed. Results Systolic blood pressure(SBP)＜140 mmHg and diastolic blood pressure(DBP)＜90 mmHg, were defined as standard blood pressures in this investigation. The survey showed that the clinic blood pressure compliance rate was 62.3%, the rate of regular medication was 96%, and the proportion of taking one kind of antihypertensive medicine and combining two kinds of antihypertensive medicine was the highest(40.3% and 39.1%, respectively). Among the patients taking three types of antihypertensive medicine, angiotensin-converting enzyme inhibitor(ACEI)/ angiotensin receptor blocker(ARB)(A)+beta blocker(B)+ calcium antagonist(CCB)(C), accounted for the highest proportion (54.8%). The second was the combination of A+C+diuretic(D)(29.0%). Among the two antihypertensive medicine combinations, A+C took the largest proportion(46.2%), followed by B+C(31.5%), while the combination of A+D was lower(9.6%). CCB accounted for the largest proportion (63.5%) in single medicine treatment, followed by ACEI/ARB(26.6%), and diuretic was the lowest (1.0%). Conclusions The proportion of diuretics prescription in hypertension medication in Yuetan community is relatively low, especially in the mono-therapy treatment and in group of patients with two antihypertensive medicines. It is suggested that clinicians should pay more attention to diuretics and its rational use, especially for hypertension patients with high salt intake. In such a situation, low to medium doses thiazide diuretics should be given with priority.

Key words: community, hypertension medication, blood pressure compliance rate