社区缺血性脑卒中患者降压药物使用及血压控制情况  

Antihypertensive medication usage and hypertension control of ischemic stroke patients in community-based medical centers

作　　者：张璐[1] 方向华[1] 穆丽媛 刘宏军[1] 张红梅[1] 秦晓明[1] 江滨[3] 

机构地区：[1]首都医科大学宣武医院,北京100053 [2]北京市社区卫生协会 [3]北京市神经外科研究所

出　　处：《心肺血管病杂志》2013年第4期387-390,共4页Journal of Cardiovascular and Pulmonary Diseases

基　　金：国家自然科学基金项目(81072361)

摘　　要：目的:评价社区缺血性脑卒中患者降压药物使用情况和血压达标率。方法:2003年1月至2006年12月,在北京市5个区各选一家二级医院,对在上述医院所属的社区卫生服务中心(站)就诊的缺血性卒中患者进行一次横断面调查,登记高血压患病及治疗情况。结果:共调查1 087例缺血性脑卒中患者,合并高血压者874例,接受降压治疗者736例,其中357例(48.5%)患者使用常用五类降压药,215例(29.2%)患者使用其他降压药,164例(22.3%)患者同时使用常用和其他类药物。接受降压治疗患者的血压达标率为30.8%。无合并症患者、合并不同心血管危险因素患者选择不同常用降压药时的血压达标率差异无统计学意义(P>0.05);选择常用药物单药降压或联合降压时,以及选择常用药物或其他药物时的血压达标率同样差异无统计学意义(均P>0.05)。结论:社区缺血性脑卒中患者的血压达标率有待提高,伴糖尿病的患者血压控制更不理想。对于合并多种心脑血管危险因素的患者,应遵循指南优化降压治疗。Objective：To assess use of antihypertensive medications in ischemic stroke patients in urban areas of Beijing and their control rate of hypertension.Methods： A cross-sectional study was performed in 5 community-based medical centers in urban areas of Beijing.A total of 1 087 patients who had experienced ischemic stroke were evaluated from Jan.2003 to Dec.2006.Results： 874 patients were diagnosed as having hypertension,of whom,736 had received antihypertensive treatment（AHT）.Guideline-recommended AHT was prescribed to 357（48.5%） patients.The control rate of hypertension in patients who received AHT was 30.8%.As having different antihypertensive regimens,Patients did not have significant difference in control rate of hypertension according to cardiovascular risk factors（P0.05）.Conclusion： The proportion of ischemic stroke patients who reach the BP goals is low in community in Beijing,especially among patients with diabetes.The gap between guideline and clinical practice should be closed,as these patients generally having multiple cardiovascular risk factors.

关 键 词：高血压 缺血性脑卒中 横断面研究 

分 类 号：R54[医药卫生—心血管疾病]