OBJECTIVE： To provide reference for improving medication compliance and treatment effect of the hypertension patients. METHODS： 3 community health center in Tianjin Hebei district were randomly selected， and 100 hypertension patients who were randomly selected from each community health center in Jan. 2015 to Dec. 2015 in Tianjin investigated by questionnaire survey to explore the basic situation， drug utilization， medication compliance， and the influential factors of medication compliance were analyzed with Logistic regression analysis. RESULTS： Totally 300 questionnaires were sent out， and 300 were recycled with effective recovery of 100％. In the investigation， taking 2 drugs accounted for the majority of hypertension patients （51.67％）； CCB and ACEI were most commonly used in the treatment of patients with hypertension （accounting for 59.33％ and 30.67％， respectively）； the proportion of good medication compliance was 34.00％； the community health center， drug type， economy， time to take medicine， hypertension knowledge were main factors for influencing the medication compliance of patients. CONCLUSIONS： The treatment of hypertension patients should take some intervention measures， especially taking necessary measures for the main factors that influence the medication compliance of the patients to improve medication compliance of patients and treatment effect.