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目的探讨社区高血压患者降压药物的用药情况及其药物依从性。方法采用调查问卷的形式,调查分析本社区173例高血压患者的用药情况及药物依从性等。结果社区高血压患者二联用药的比例最高,达到49.42%,而且血压控制效果也最好,达到95.29%。引发高血压患者出现用药不良反应的药物主要有血管紧张素转换酶抑制剂(ACEI)及钙拈抗剂类药物,占84.39%。影响高血压药物依从性的因素为不良反应占56.10%、用药品种多占36.53%、用药缺乏监督占44.14%、价格因素占13.94%,认识不足占1.82%,其他占5.85%。结论社区医生要加强对高血压疾病的宣传与教育,提高高血压患者对疾病的认识,帮助其合理选择药物,并且按时、按剂量用药,从而提升患者的药物依从性。
Objective To investigate the medication and drug compliance of antihypertensive drugs in community-based hypertensive patients. Methods The questionnaire was used to investigate the medication status and drug compliance of 173 hypertensive patients in this community. Results Community-based hypertension patients had the highest rate of dual drug use, accounting for 49.42%, and the best blood pressure control effect was 95.29%. Drugs that cause adverse drug reactions in patients with hypertension mainly include angiotensin converting enzyme inhibitor (ACEI) and calcium antagonist drugs, accounting for 84.39%. The factors that influence the compliance of hypertensive drugs were 56.10% of the adverse reactions, 36.53% of the drug abusers, 44.14% of the drug abusers, 13.94% of the price factors, 1.82% of the under-recognitions and 5.85% of the others. Conclusion Community doctors should enhance the publicity and education on hypertension, improve their understanding of the disease, help them choose the drug rationally, and administer drugs on time and in order to improve their drug compliance.