754名基层医生高血压病临床知识和实际诊断处理能力的研究

目的 了解大城市和中等城市基层医院内科系列医生对高血压病诊断治疗知识的掌握情况以及对高血压病例的临床处理能力。方法 2002年7～10月，对北京市海淀区和朝阳区42家基层医院(包括二级医院、一级医院和乡卫生院)以及内蒙古包头市包钢医院共计754名内科系列的医生，采用闭卷笔试的方式，进行高血压病有关临床知识和实际处理病例能力的调查。结果 (1)基层医生对高血压患者血压水平分级的正确率为64％，危险分层的正确率为28％，治疗策略选择的正确率为54％；(2)基层医生对高血压非药物治疗的知识掌握不足；(3)基层医生对常用降压药物(如利尿剂、β受体阻滞剂、ACEI、复方降压片和降压0号等)的慎用症或禁忌症的知识掌握较差。结论 基层医生关于高血压病的诊断治疗知识和实际处理高血压病例的能力处于较低的水平，亟需提高。

A cross-sectional study on knowledge and the ability of hypertension treatment among physicians in district and community hospitals

Objective To estimate the knowledge level and clinical ability of hypertension treatment among physicians in district and community hospitals in big and moderate cities. Methods 43 district and community hospitals were selected by non-random sampling in Beijing and Baotou inner-Mongolia municipality. A total of 754 physicians in those hospitals were investigated, through an examination. Results The correct rates on blood pressure stages, risk stratification and treatment strategy were 64%, 28% and 54%, respectively. The knowledge level on non-pharmacologic treatments was insufficient among physicians. The knowledge level of special indications on the common antihypertensive drugs (such as diuretics, beta-blockers, ACE inhibitors) was even worse. Conclusion Physicians in district and community hospitals did not have enough knowledge and ability to fulfill the task of hypertension treatment and management.