Ahmed Nazir, Abdul Khaliq Muhammad, Shah Syed Humayun, Anwar Waqas
Department of Medicine, Frontier Medical College, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2008 Apr-Jun;20(2):66-9.
Hypertension is one of the most important cardiovascular risk factor but its control is still a challenge for physicians all around the world. Control of blood pressure can reduce cardiovascular morbidity and mortality, so the compliance to antihypertensive drugs and life style modification play an important role for the control of hypertension. This analytical (cross-sectional) study was conducted to assess prevalence of control of hypertension among hypertensive patients and to assess the relationship of control of hypertension with factors like compliance to antihypertensive drugs, salt restriction and exercise among the hypertensive patients. This study was conducted at outpatient clinic of medicine at Shahina Jamil Hospital Abbottabad from April 2007 to September 2007.
Eighty-nine patients seen in the outpatient clinic of medicine were enrolled in the study. All the patients with age 15 years or above, diagnosed as a case of systemic hypertension were included.
Among eighty-nine patients, 67 were female and 22 were male with mean age of 55.8 +/- 13.4 years, mean systolic and diastolic blood pressure of 160 +/- 28.6 and 97.8 +/- 14.1 mm Hg respectively, and pulse rate of 85.9 +/- 11.4 per minutes. Out of 89 patients, 25.8% were having controlled hypertension, 48.3% were compliant and 51.7% were not compliant to antihypertensive drugs, 55.1% were having salt restriction and 44.9% were having no salt restriction and 23.6% were used to do physical activity while 76.4% were not used to do physical activity. In group A consisted of patients with controlled hypertension, 95.7% patients were compliant to antihypertensive patients, 95.7% were having salt restriction, and 43.5% were used to do physical activity. In group B consisted of patients with uncontrolled hypertension, only 31.8% were compliant to antihypertensive drugs, 40.9% were having salt restriction, 16.7% were used to do physical activity.
Hypertension can be controlled if the hypertensive patients have good compliance to antihypertensive drugs, salt restriction and do some sort of physical activity regularly and in this way, prevent themselves from the hypertensive complications.
高血压是最重要的心血管危险因素之一，但其控制仍是全球医生面临的一项挑战。控制血压可降低心血管疾病的发病率和死亡率，因此，高血压患者对抗高血压药物的依从性以及生活方式的改变对高血压的控制起着重要作用。本分析性（横断面）研究旨在评估高血压患者中高血压的控制率，并评估高血压控制与高血压患者对抗高血压药物的依从性、限盐和运动等因素之间的关系。本研究于2007年4月至2007年9月在阿伯塔巴德沙希娜·贾米尔医院内科门诊进行。
在内科门诊就诊的89例患者纳入本研究。纳入所有年龄在15岁及以上、诊断为系统性高血压的患者。
89例患者中，女性67例，男性22例，平均年龄55.8±13.4岁，平均收缩压和舒张压分别为160±28.6 mmHg和97.8±14.1 mmHg，脉搏率为85.9±11.4次/分钟。89例患者中，25.8%的患者血压得到控制，48.3%的患者依从抗高血压药物治疗，51.7%的患者不依从抗高血压药物治疗，55.1%的患者限盐，44.9%的患者不限盐，23.6%的患者进行体育活动，76.
