CAJ | 학술논문

目的：大规模调查本地区三级医院高血压患者发病与用药情况，以促进本地区高血压患者的合理控制。方法选择本地区三级医院2011-2012年收治的确诊高血压患者600例（2011年300例，2012年300例），对用药情况与预后进行调查。结果高血压患者多使用ACEI、CCB、利尿药等药物治疗，其中利尿药、β阻滞剂、ARB使用率在不同年份之间的对比差异有统计学意义（ P＜0.05）。2012年患者联合用药比例为83.3％，2011年患者联合用药比例为70.0％，组间对比差异有统计学意义（ P＜0.05）。2012年患者的治疗有效率明显高于2011年，而并发症发生率明显少于2011年，差异有统计学意义（ P＜0.05）。结论本地区三级医院收治的高血压患者呈平稳增长趋势，多选择联合药物治疗，从而取得更好的预后。
목적：대규모조사본지구삼급의원고혈압환자발병여용약정황，이촉진본지구고혈압환자적합리공제。방법선택본지구삼급의원2011-2012년수치적학진고혈압환자600례（2011년300례，2012년300례），대용약정황여예후진행조사。결과고혈압환자다사용ACEI、CCB、이뇨약등약물치료，기중이뇨약、β조체제、ARB사용솔재불동년빈지간적대비차이유통계학의의（ P＜0.05）。2012년환자연합용약비례위83.3％，2011년환자연합용약비례위70.0％，조간대비차이유통계학의의（ P＜0.05）。2012년환자적치료유효솔명현고우2011년，이병발증발생솔명현소우2011년，차이유통계학의의（ P＜0.05）。결론본지구삼급의원수치적고혈압환자정평은증장추세，다선택연합약물치료，종이취득경호적예후。
Objective The incidence and medication use of hypertension patients in top-level hospitals of the region were investigated by large-scale survey to promote the region's reasonable control of hypertension .Methods Totally 600 cases of hy-pertensive in top-level hospitals of the region from 2011 to 2012 (300 cases in 2011 year ,300 cases in 2012 year) were chosen for the study ;the medication use and the prognosis were investigated .Results The ACEI ,CCB and diuretics were often cho-sen to treat hypertension patients ,among them ,the utilization of diuretics ,βblockers and ARB in different years had a statisti-cally difference (P<0 .05) .The proportion of combination therapy was 83 .3% in the year 2012 ,and 70 .0% in the year 2011 , the differences between the two groups was statistically significant (P<0 .05) .The treatment effectiveness of 2012 were sig-nificantly higher than that of 2011 ,while the incidence of complications were significantly less than that of 2011 ,the differences were statistically significant (P<0 .05) .Conclusion The hypertension patients in top-level hospitals of the region is increased steadily ,most of them choose drug combination therapy for better prognosis .