关键词: 卒中; 二级预防; 高血压; 治疗

Abstract: Objective To improve the management of hypertension in hypertensive stroke patients by stroke clinic follow-up.Methods 833 serial stroke patients with hypertension were enrolled in the study and were divided into two groups according to their follow-up status. The percentages of the patients that were treated by antihypertensive therapy as well as the percentages of the patients with optimal hypertension control were compared between two groups.Results Compared with the baseline, the rates of hypertension treatment and the optimal hypertension control were increased significantly during follow-up periods (from 40.5% to 92.1% and from 18.2% to 57.4%, respectively, P<0.01). Separately, the rates of hypertension treatment and the optimal hypertension control were significantly increased in the patients that were followed up in the stroke clinic from 41.0% to 98.4% as well as from 20.7% to 65.9% (P<0.01) .Meanwhile, those rates were also significantly increased in the patients that were telephone but not clinic followed up from 39.0% to 74.3% and from 11.5% to 33.5%(P<0.01). During the follow-up periods, the rate of combination therapy increased from 21.7% to 28.8% (P=0.013), as well as the rates of the patients with diet control(48.3% to 74.7%, P<0.01), keeping daily exercise(17.3% to 58.8%, P<0.001), keeping regular blood pressure measurement(24.7% to 46.7%, P<0.01), giving up smoking(76.5% to 94.4%, P<0.01), and drinking (77.1% to 88.8%, P=0.002)were increased significantly.Conclusion Stroke clinic follow-up can improve the hypertension management and life style changing among hypertensive stroke patients. The rates of antihypertensive treatment and the optimal hypertension control were better in those followed up in the special stroke clinic than those not in the clinic.

Key words: Stroke; Secondary prevention; Hypertension; Treatment