北京市城乡老年人抗高血压药物7年变化趋势

Analysis of antihypertensive drugs used for elderly hypertensive patients in Beijing

摘要: 目的: 了解北京市城乡老年人抗高血压药物使用7年变化情况。方法：采用分层、随机、整群等距的抽样原则，于2000、2004和2007年3次选取北京地区≥60岁的2 832、1 828和2 277例老年人进行血压测量及相关资料的收集，应用χ2检验对不同性别、年龄、居住地区与高血压用药7年变化趋势进行单因素分析。结果：钙通道阻滞剂（CCB）、血管紧张素转换酶抑制剂（ACEI）、利尿剂和β-受体阻滞剂的使用逐年增多，而降压片的使用明显减少。结论：老年高血压病的治疗已不仅仅局限于降压，还要考虑防治并发症，提高高血压病患者的生命质量。

Abstract: AIM: To analyze the trend of antihypertensive drugs used for elderly hypertensive patients in Beijing. METHODS: A group of 2 832, 1 828 and 2 277 elderly residents aged ≥60 in Beijing was chosen for this study in the years 2000, 2004 and 2007, respectively, by well-established statistical sampling techniques such as cluster, stratification and random selection, and the trend of antihypertensive drugs used for elderly hypertensive patients was analyzed. RESULTS: The proportion of CCB, ACEI, diuretics and β-RB increased, whereas that of reserpine decreased. CONCLUSION: The aim of hypertension treatment is not only to lower blood pressure but also to decrease complications so as to improve the quality of life.