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高血压的患者依从性和治疗

Author
Norman M Kaplan, MD
Section Editor
George L Bakris, MD
Deputy Editor
John P Forman, MD, MSc
Translators
张妍, 主任医师，教授

引言

最新的美国国家健康与营养调查(National Health and Nutrition Examination Survey, NHANES)发现，在美国大约74%的高血压患者正在接受治疗，且其中72%血压控制良好(140/90mmHg之下)(表 1)[1,2]。

对于其中的差距，一个重要的原因是患者对治疗缺乏依从性，但这一点难以确定[3,4]。尽管各项目已经显示患者有极好的依从性，并且治疗结果也极好(包括采用药物治疗[5]和非药物治疗[6])，但这一问题仍然存在。

本专题将总结与患者不依从抗高血压治疗相关的主要问题。有关患者不依从的更完整内容将在别处讨论。 (参见“患者对调脂药物治疗和生活方式改变推荐的依从性”)

不依从的原因

高血压具有很多被发现可降低依从性的因素(表 2)。

患者和疾病特征 — 高血压患者有一些与其疾病性质相关的特殊问题。

     

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Literature review current through: 2017-06 . | This topic last updated: 2017-06-12.
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