The Investigation Of The Current Situation Of Outpatients With Hypertension

Objective:To investigate the blood pressure level, risk factors, comorbid clinical diseases and status quo of pharmacologic management of hypertensive outpatients in Qilu Hospital of Shandong University. Methods:A total of 5373 hypertensive outpatients data in Qilu Hospital of Shandong University from January to December in 2012 was included and analyzed, with the data of age, gender, hypertension medical history, smoking history, family history, comorbid diseases and status quo of pharmacologic management.Results:Of 5373 investigated hepertensive outpatients(45.77% womenN 54.23% man), there were 17.77% grading-1 hypertensives,24.03% grading-2 hypertensives and 58.20% grading-3. Of the investigated outpatients. Of the investigated outpatients, isolated hypertensives accounted for 6.98%, and complicating other risk factors for 74.32% (59.05% cases showed dysl ipidemia,32.85% patients had hypertension family history,21.90% cases combined with smoking,15.54% outpatients suffered from abnormal glucose metabolism).33.50% patients suffered from left ventricular hypertrophy,11.13% outpatients showed atrial fibrillation,30.37% cases had cardiovascular diseases and 12.21% were diagnosed with cerebrovascular diseases. After stratifying the risk classification of the hypertensive outpatients, we found that there were 3.44% cases having low risk,20.83% stratified at moderate risk stratification,20.73% patients having high risk and 55.00% having very high risk. Total drug-usage of the investigated hypertensive outpatients were 91.62%. The most commonly used antihypertensive therapy was CCB which accounted for 56.17%, followed by β-blockers (31.00%). ARB had a usage rate of 25.11%, and 23.41% patients using ACEI. The least frequently used therapy was diuretic which occupied only 14.13%. There were 450 hypertensive outpatients untreated, occupying 8.38% of all the investigated,2277 cases having one kind of therapy only which accounted for 42.38%,2241 patients using two kinds of antihypertensive drugs which occupied 41.70%, and 405 patients using three or more kinds, accounting for 7.54%.Conclusion:Of all the hypertensive outpatients, there were relatively more cases with high blood pressure level, more patients combined with risk factors, many suffering from dyslipidemia, plenty of male putpatients smoking and almost half of the hypertensive outpatients having comorbid cardiocerebrovascular diseases. There existed some differences in smoking, dyslipidemia, and heart, brain and blood vessel disease between men and women in our invstigation. The di fference of fami ly history, abnormal glucose metabolism and atrial fibrillation has no statistical significance. Most patients were stratified at high and very high risk classification. Total drug-usage was high, and CCB was most frequently used antihypertensive drug, diuretic was least. Almost half of the investigated outpatients were treated with combination therapy.