内科门诊高血压患者及治疗情况的调查分析

目的：了解内科门诊高血压患者的发病情况及诊治情况。方法：采用自愿回答问题的调查方式,包括高血压病诊治情况、伴随的危险因素诊治情况、与高血压有关的生活方式及有关的知识等。结果：共调查186例高血压患者,其中男性99例,女性87例,男性多于女性。因头痛或（和）头晕发现高血压者占63.9%,因其他疾病就诊发现高血压者占25.2%,体检发现高血压者占11.3%（P〈0.001）。规律服药者占24.7%,规律服药平均年限4.5±5.2年,发现高血压平均年限12.3±9.1年（P〈0.01）。结论：内科门诊中高血压病患者所占比例较大,是高血压病防治的重要场所,临床医生应当加强对高血压病患者的系统宣教并合理用药,尽量使更多的高血压病患者得到最经济有效的治疗。

Investigation on Outpatient Hypertensive Patients in Our Hospital

OBJECTIVE： To probe into the incidence,diagnosis and treatment of the outpatients with hypertension in the internal medicine department of our hospital. METHODS： The outpatients were asked to answer the following questions voluntarily regarding the diagnosis and treatment of hypertension and risk factors,life style and hypertension-related knowledge and so on. RESULTS： A total of 186 hypertensive patients were investigated including 99 males and 87 females. 63. 9% presented with the initial symptoms of headache or （and） dizziness,25. 2% were found to have hypertension when seeing a doctor on account of other diseases,and 11. 3% were noted to have hypertension on physical examination （P〈0. 001）. 24. 7% received drugs periodically for an average of 4. 5 ± 5. 2 years; the patients suffered hypertension for an average of 12. 3 ± 9. 1 years （P〈0. 01）. CONCLUSION： In internal medicine department is the important site for the treatment and prevention of hypertension in the light of the high incidence of hypertension there. Clinicians should intensify systemic propaganda and education as well as rational drug use among hypertensive patients and to provide most cost-effective treatment for as many as hypertensive patients.