西藏林芝、拉萨、安多3个不同海拔区县高血压患者用药情况分析

发布时间：2018-11-02 07:15

【摘要】：目的探讨西藏3个区县高血压患者的用药情况。方法 2014-2016年在西藏林芝县(海拔3000m)、拉萨市区(海拔3650m)、安多县(海拔4700m)每个区县随机抽取社区居民1000人进行心血管病患病率调查,对检出的有高血压史的患者的用药情况进行分析。结果 3个区县共检出有高血压史的患者490例(林芝县148例、拉萨市190例、安多县152例),2周内经常服用降压药者的比例均40.0%,2周内经常服用降压药者的血压控制率均50.0%。在高血压患者使用的药物中,藏药和中成药占有相当大的比重,占各类药物使用频次的36.84%。拉萨市区有72.55%的患者单用藏药进行降压治疗,该地区2周内经常服用降压药患者的血压控制率仅为15.7%。结论西藏地区高血压患者的药物治疗状况不容乐观,亟需对药物治疗现状进行进一步的深入分析并开展规范化的管理和治疗。
[Abstract]:Objective to investigate the drug use of hypertension patients in 3 districts and counties of Tibet. Methods from 2014 to 2016, 1000 community residents were randomly selected from Linzhi County (3000m above sea level), Lhasa (3650m) and Ando County (4700m above sea level) to investigate the prevalence of cardiovascular diseases. Drug use in patients with history of hypertension was analyzed. Results A total of 490 patients (148 in Linzhi County, 190 in Lhasa and 152 in Ando County) were found to have history of hypertension in the three districts and counties. The proportion of patients who regularly took antihypertensive drugs within 2 weeks was 40.0%. The blood pressure control rates of patients who regularly took antihypertensive drugs within 2 weeks were 50. 0%. Tibetan medicine and Chinese patent medicine account for a large proportion of the drugs used in patients with hypertension, accounting for 36.84% of the use frequency of all kinds of drugs. 72.55% of patients in Lhasa were treated with antihypertensive drugs alone. The blood pressure control rate of patients who regularly took antihypertensive drugs in Lhasa for 2 weeks was only 15.775%. Conclusion the status of drug therapy in patients with hypertension in Tibet is not optimistic. It is necessary to further analyze the current situation of drug therapy and carry out standardized management and treatment.
【作者单位】：中国医学科学院阜外医院国家心血管病中心社区防治部;
【基金】：公益性行业科研专项(201402002)资助
【分类号】：R544.1

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