复发性脑梗死合并高血压患者使用降压药情况的调查

目的对复发性脑梗死合并高血压患者首次发病后使用降压药情况的调查,探讨引起其临床应用不规范的一些主要原因。方法从某院2005年9月～2011年6月住院的639例脑梗死患者中筛选出复发性脑梗死合并高血压102例,调查其住院前使用降压药的情况,分析降压药使用不规范的原因。结果 102例复发性脑梗死合并高血压患者75例(73.53%)患者降压药使用不规范;其中,47例(46.08%)患者虽坚持服用,但32例患者血压未达标占68.09%(32/47);21例(20.59%)患者间断服用降压药;7例(6.86%)患者未服用降压药;降压药使用不规范的主要原因为:患者担心不良反应;患者对高血压认识不足;患者或家属认为无效;患者未坚持内科门诊随访,未接受专科医生指导;门诊医生随访中忽略询问使用情况;患者嫌麻烦;患者因出现副作用而停药。结论相当比例的脑梗死合并高血压患者使用降压药不规范及未能坚持长期服用,降压达标率较低。应对脑梗死合并高血压患者加强脑卒中及高血压健康教育,以提高降压药使用依从性。

Investigation on the use of anti-hypertension drug on patients of recurrent cerebral infarction with hypertension

OBJECTIVE To investigate the use of anti-hypertension on patients of recurrent cerebral infarction,to explore and analyze the clinical irregular application.METHODS 102 cases of recurrent cerebral infarction were selected in hospital from September 2005 to June 2011 and the use of anti-hypertension drug after the first stroke and irregular application were had anti-hypertension drug daily in hospital.However,75 patients(73.53%)had anti-hypertension drug irregularly after they left hospital.Among them,47 patients(46.08%)insisted on anti-hypertension drug therapy,but 32 cases(68.09%)had irregular dosage and 21 cases(20.59%)took anti-hypertension drug interruptedly and 7 cases(6.86%)didn’t take anti-hypertension drug.The main causes of irregular use of anti-hypertension drug were the patient’s worry about the unwanted side effects,feeling troublesome of taken medicine daily,believing in non-effective therapy recommended by patients or their families but not by the doctor,not visiting neurologist regularly,doctor’s ignoring in outpatient departments,and unwanted side effects such as stomach discomfort and rash.CONCLUSION A considerably amount of recurrent patients after they first stroke have irregular anti-hypertension drug or not insist on the therapy.So it is quite important to reinforce the education of patients to enhance the compliance on anti-hypertension drug therapy.