| 摘要: | 高血壓是臨床上常見的疾病，也是心臟血管疾病的重要危險因子，血壓控制不良會增加心肌梗塞、中風、腎臟衰竭和死亡的風險，並影響病患生活品質，有效地控制高血壓可以有效降低死亡率及罹病率的發生。因此高血壓藥物治療對於臨床運用是一個非常重要的課題。
本研究以新北市某健保藥局，篩選在103~105年持有高血壓慢性處方箋之病患，依性別、年齡等變項比較各種抗高血壓藥物的使用率，及各年齡層患者單獨使用一種高血壓藥物或合併藥物治療的各項分析。本研究以SPSS /12.0 統計軟體進行描述性統計、獨立樣本t檢定、ANOVA檢定及單因子變異數執行檢定分析。
研究結果顯示，205位慢性處方箋31~90歲以上高血壓患者，男女性高血壓患者無差異，61~80歲高血壓患者佔多數 (59%)，顯示患有高血壓以老年齡層患者為主。高血壓患者藥物治療以單一藥物治療為主，共161人，以鈣離子阻斷劑 (CCB) Norvasc藥物治療最多，共54人，佔67%。合併用藥治療44人中以血管收縮素受體阻滯劑 (ARB) 合併鈣離子阻斷劑 (CCB) 使用最多，共18人，佔84%。
本研究建議加強宣導高血壓教育的重要性及按時持續服藥的觀念，可以即時了解高血壓治療領域的最新進展並配合良好生活作息，有助於高血壓的有效管理，亦可能可以獲得最大的療效和改善患者的健康狀況，防止因高血壓而引起各種疾病的發生。
Hypertension is a common disease in clinical and it is importantly risk factors of cardiac vascular diseases. Improper blood pressure control will increase the risks of myocardial infarction, stroke, kidney failure and death, and impact patients’ quality of life; effective control hypertension will can effectively reduce the disease and mortality rates. Therefore hypertension’s pharmacotherapy for clinical application is a very important issue.
This study was investigation on the patient’s hypertension chronic continuous prescriptions from a health insurance pharmacy of New Taipei City in 2014~2016 years, the study focused on comparing the usage rate of anti-hypertension drugs by gender and age, and analyses all age-group patient using single or combine anti-hypertension drugs. In this study, descriptive statistics, independent sample t-test, ANOVA and one-way variance analysis were performed with SPSS/12.0 statistical software.
The results of the study showed that 205 hypertension patients from 31 to 90 year-old male and female had no different, 61~80 year-old hypertension patients were in the majority (59%), it showed that hypertension patients occurred in old age. Medication treatment of hypertension patients was based on taking single medicine, a total of 161 patients, among them, Calcium Channel Blocker (CCB)-Norvasc was the most use, had 54 patients, account for 67%. Among the 44 patients treated with combination drugs, Angiotensin Receptor Blocker (ARB) combined with Calcium Channel Blocker (CCB) were used the most, in total 18 patients, 84%.
The study recommended strengthening advocacy for the important of education for hypertension and the concept of continuing taking medicine on time that can instantly understand the latest developments of hypertension treatments and coordinate with the good lifestyle to contribute the effective management of hypertension, it may also get the highest efficacy and improve the health of the patient and prevent hypertension cause various diseases |
