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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。
Objective To investigate the medication of hypertension patients in three districts of Tibet. Methods A total of 1000 community residents in each counties of Linzhi County in Tibet (3000m above sea level), Lhasa (3650m above sea level) and Anduo County (4700m above sea level) were enrolled in 2014-2016 to investigate the prevalence of cardiovascular diseases. Out of the history of hypertension in patients with medication analysis. Results Among the three districts and counties, there were 490 cases of hypertension (148 in Nyingchi County, 190 in Lhasa and 152 in Anduo County), and those who took antihypertensive drugs regularly within two weeks were all <40.0% Blood pressure control rate was less than 50.0% in those who took antihypertensive drugs regularly in 2 weeks. Among the drugs used in patients with hypertension, Tibetan medicine and proprietary Chinese medicine occupy a large proportion, accounting for 36.84% of the frequency of various types of drugs used. 72.55% of patients in Lhasa urban area took antihypertensive treatment with Tibetan medicine alone. The rate of blood pressure control in those who took antihypertensive drugs within two weeks in the area was only 15.7%. Conclusion The treatment of hypertension patients in Tibet is not optimistic. It is urgent to further analyze the current situation of drug treatment and carry out standardized management and treatment.