关键词: 高血压, 血压控制, 健康管理, 药物应用, 影响因素

Abstract: Objective To explore the relationship between application of anti-hypertensive drugs and blood pressure control in patients with hypertension, so as to provide reference for the prevention and treatment of hypertension in the community. Methods A multi-stage random sampling method was used to select the patients with hypertension in community health management as the subjects for questionnaire survey and physical examination. The t test, Chi-square test and Logistic stepwise regression were used to analyze the relationship between drug application and blood pressure control. Results The average age of 1 120 patients with hypertension was （60.48 ± 12.19） years. There were 661 males, accounting for 59.02%. The compliance rate of blood pressure in patients with hypertension was 69.64%. Compared with the blood pressure one year ago, the compliance rate of blood pressure increased by 3.84%, in which the patients with combined medication （two or more kinds） and traditional Chinese medicine increased by 19.55% and 24.63% respectively （both P<0.01）. The compliance rate of blood pressure in patients with single western medicine and without traditional Chinese medicine decreased by 5.03% and 2.83% respectively （P<0.05 or P<0.01）. Multivariate Logistic regression analysis showed that combined medication （OR=0.20） and using traditional Chinese medicine （OR=0.41） were associated with non-compliance of blood pressure control in patients with hypertension. Conclusion Making combined use of anti-hypertensive and increasing the use of traditional Chinese Medicine are helpful to control blood pressure for patients with hypertension.

Key words: Hypertension, Blood pressure control, Health management, Drug application, Influencing factor