Ogunyemi O
Br Med J (Clin Res Ed). 1983 Jun 18;286(6382):1956-7. doi: 10.1136/bmj.286.6382.1956.
One hundred patients whose hypertension was originally well controlled were carefully screened when a routine clinic visit showed that their blood pressure was above 170/100 mm Hg. Simple misconceptions accounted for 75 failures: 38 did not know they had to continue their drugs, 14 thought they should not take antihypertensive drugs if they had not had a meal, 13 did not know which drugs controlled their blood pressure, and 10 believed it was better not to take their drugs on clinic days. Eleven patients were using racemic alpha-methyldopa, which was ineffective; 11 others said they could not afford the drugs; only three intentionally stopped their drugs because of unpleasant side effects. Patients need to be thoroughly informed about their treatment and the number of drugs kept to a minimum.
100名原本高血压得到良好控制的患者在一次常规门诊就诊时血压高于170/100毫米汞柱，他们接受了仔细筛查。75例治疗失败是由一些简单的误解造成的：38人不知道必须继续服药，14人认为没吃饭就不应服用降压药，13人不知道哪些药物能控制他们的血压，10人认为在门诊日不服药更好。11名患者使用消旋α-甲基多巴，该药无效；另外11人表示他们买不起药；只有3人因不良反应而故意停药。需要让患者充分了解他们的治疗情况，并将药物数量减至最少。
