医学论文：高血压患者门诊药物治疗血压达标的影响因素

高血压患者门诊药物治疗血压达标的影响因素3

摘要：目的：研究高血压门诊患者药物治疗血压控制达标的影响因素。
方法：对1012例医疗保险高血压慢性病门诊的患者进行调查，分别记录患者的年龄、性别、患病年限、最高血压、治疗后血压、用药种类、随诊状况等情况。并统计达标率，分析各种就诊状态患者的达标率；分析达标患者中各种药物的使用比例及联用情况；应用Logist回归分析得出门诊高血压患者长期血压控制达标的影响因素。
结果：患者平均年龄66.2±10.9岁，男357例，女655例，平均高血压患病时间11.1±9.7年，总体达标率34.4%，达标患者主要集中在心血管专科就诊，占71.2%；该人群中以钙离子拮抗剂(CCB)的使用率最高，1、2、3级高血压患者的使用率分别为62.1%、88.9%、80.8%；ß受体阻滞剂(ß-B)次之，分别为：37.9%、58.3%、60.3%。1级血压达标患者51.7%单药治疗；随着血压水平升高，达标患者联合治疗比例增高：2、3级高血压患者分别为76.4%、85.9%；在2种药物组合中，最常被选用的联合是CCB和 ß-B，占44.
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ith hypertension, the historic highest blood pressure, the sorts of blood pressure lowering agent, follow-up department, an so on. We calculated the controlling ratio of different pressure-level, the total patients and different follow-up situation of patients. We analyzed the proportion of various kinds of blood pressure lowering agent and the information of combination therapy in the controlled patients，then e*ported the impact factor of blood pressure controlling in long-term by Logist regression analysis.
Results：Of 66.2±10.9 mean age patients included 357 male and 655 female, its average duration with hypertension were11.1±9.7 years. It had 13.9%、38.4%、47.7% patients in 1 to 3 blood pressure level respectively. Total controlled ratio was 34.4%. The patent controlled ratio of cardiovascular department, endocrine, clinic of general medicine or community, oneself-treated and non-treated were 71.2%, 17.4%, 22.6%, 11.3%, 0 respectively. Calcium-channel blocker (CCB) was most used in blood pressure controlled patients, the second was ß blocker, and the third was angiotensin receptor antagonist (ARB). The results of logistic regression analysis showed that, the independent facilitative factor for the patients’ blood pressure controlling were followed-up in clinic of cardiovascular department, and treated by CCB and ß blocker (odd ratio and its P value were 1.73，0.000；1.81，0.031；1.60，0.054) ) .
Conclusion：Consistently follow up in cardiology outpatient-department, using CCB as a basis treatment or a basis of combination, and the combination of CCB and ß blocker are the value key to make Chinese Outpatients with essential hypertensive to reach the blood pressure goal in Long-term medic ……（未完，全文共6372字，当前仅显示2237字，请阅读下面提示信息。收藏《医学论文：高血压患者门诊药物治疗血压达标的影响因素》）