Abstract: Objective To investigate the compliance of prevention and treatment and blood pressure control in patients with essential hypertension, to provide a reference for controlling the development of essential hypertension. Methods A total of 696 patients with essential hypertension who received medical treatment in Lujiang County Hospital of Traditional Chinese Medicine from May to December 2019 were selected for a questionnaire survey and physical examination to further analyze the influence of different population characteristics and different prevention and treatment items on blood pressure control. Results Among the 696 patients with essential hypertension, 16.24% （113/696） met the blood pressure control standard. The compliance with smoking cessation, limiting alcohol consumption, reducing sodium intake, weight control, moderate exercise, and taking medication as prescribed by the doctor were 24.86%,28.45%, 64.51%, 58.05%, 66.38%, and 83.05%, respectively. Multivariate Logistic regression analysis showed that patients with essential hypertension aged 55-69 （OR=1.567）, with an education level of senior high school/technical secondary school or above （OR=2.849）, course of disease ≤ 10 years （OR=1.431）, good compliance with smoking cessation （OR=1.852）, good compliance with limiting alcohol consumption （OR=2.083）, good compliance with reducing sodium intake （OR=3.511）, good compliance with weight control （OR=1.145）, good compliance with moderate exercise （OR=1.670）, and good compliance with medication as prescribed by the doctor （OR=1.399） had a higher possibility of reaching the standard of blood pressure control. Conclusions The achievement of blood pressure control in patients with essential hypertension needs to be improved, and is closely related to the characteristics of the population and the compliance with prevention and treatment items. Comprehensive prevention and treatment of hypertension should be carried out for key populations and risk factors to improve patients' prevention and treatment compliance and promote blood pressure control.

Key words: Essential hypertension, Compliance with prevention and control, Blood pressure control, Up to standard