Objective To analyze the influence of Wechat technology on education in rational drug use and medication compliance in the elderly hypertensive patients in Wanshou Road Community Health Service Center in Beijing Haidian District Methods A total of 256 elderly patients with hypertension, who were treated in Wanshou Road Community Health Service Center in Beijing Haidian District from January 2018 to January 2020, were divided into the control and study groups with 128 in each. The control group were given routine health education, and the study group Wechat intervention. The two groups were compared in rational drug use, drug compliance and blood pressure control. SPSS statistics 18.0 was used for data analysis. According to the data type, t-test orχ² test was performed for comparison between groups. Results After intervention, the study group outperformed the control group in drug awareness, taking medicine on time, administration of medicines, and monitoring adverse reactions. The patients′ compliance for hypertension treatment in study group was higher than that in control group. Systolic blood pressure and diastolic blood pressure in study group were lower than those in control group. Fasting plasma glucose, total cholesterol and triglyceride in study group decreased by greater degrees, the differences being statistically significant(all P＜0.05). Conclusion The follow-up education of the hypertensive elderly patients through Wechat can effectively improve their awareness of rational drug use, medication compliance, and blood pressure control. It is worthy of clinical application.