|本期目录/Table of Contents|

[1]李娟,马清智,李富迪.社区抗高血压药物的临床应用调查及合理性分析[J].慢性病学杂志,2020,21(09):1302-1305.
　LIJuan,MAQing-zhi,LIFu-di.Clinical application of antihypertensive drugs and analysis of their rationality in a community[J].,2020,21(09):1302-1305.
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社区抗高血压药物的临床应用调查及合理性分析

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年09期
页码:
1302-1305
栏目:
论　著
出版日期:
2020-09-28

文章信息/Info

Title:
Clinical application of antihypertensive drugs and analysis of their rationality in a community
作者:
李娟; 马清智; 李富迪
北京市顺义区李遂社区卫生服务中心，北京 101300
Author(s):
LIJuan; MAQing-zhi; LIFu-di
Li Sui Community HealthServiceCenter,ShunyiDistrict,Beijing101300,China Correspondingauthor:LIJuan,E-mail:juanzi_0117@sina.com
关键词:
抗高血压药物; 用药频度; 联合用药; 钙离子通道阻滞剂; 合理用药
Keywords:
Antihypertensive drugs;  Frequency of drug use;  Combined drug use;  Calcium channel block-ers;  Rational drug use
分类号:
R542.22
DOI:
-
摘要:
目的 调查分析某社区卫生服务中心抗高血压药物的临床应用特点并分析其合理性。方法 选取 2015年1月至2017年12月北京市顺义区李遂社区卫生服务中心门诊开具的抗高血压药处方34113张，对其中的 抗高血压药物的应用人群、药物种类、用药频度（DDDs）、单个品种用药比例、联合用药情况进行调查分析。 结果 在抗高血压用药人群中，女性患者比例高于男性，61~75岁年龄段患者比例最高。降压药的种类以钙通 道阻滞剂（CCB）应用比例最高。抗高血压药物DDDs前10位是硝苯地平控释片、厄贝沙坦片、苯磺酸氨氯地 平片、吲达帕胺片、福辛普利钠片、缬沙坦胶囊、酒石酸美托洛尔片、复方利血平片、氢氯噻嗪片和比索洛尔 片。单个用药比例排名前10名主要属于CCB、β-受体阻滞剂（β-RB）、血管紧张素转化酶阻滞剂（ACEI）、血 管紧张素受体阻滞剂（ARB）等。用药方案主要以单个用药、二联用药为主。结论 本社区卫生服务中心门诊 应用的降压药物种类齐全，绝大多数为指南推荐的CCB、ARB等一线降压药，并以单独用药、二联用药为主要 用药方法，合理性较高。
Abstract:
Objective To investigate the clinical applications of antihypertensive drugs and analyze their rationality in our community health service center. Methods Totally34 113 prescriptions of antihyper-tensive drugs were selected from the outpatient department of Li Sui Community Health Service Center of Shunyi District in Beijing from January 2015 to December 2017. By classifying and processing the information in the above prescriptions, the application population of antihypertensive drugs, the types of antihypertensive drugs, defined daily doses（DDDs）, the proportion of single drug varieties and the sit-uation of combined drug use were investigated and analyzed. Results In the antihypertensive drug us-ers, the proportion of female patients was higher than that of male patients, and the highest proportion of age group was 61-75 years old. Calcium channel blockers（CCB）was one of the most types of antihypertensive drugs in the hospital in recent three years. The top 10 antihypertensive drugs of DDDs in the hospital were nifedipine sustained-release tablets, irbesartan tablets, amlodipine besylate tablets, indapamide tablets, fosinopril sodium tablets, valsartan capsules, metoprolol tartrate tablets, compound reserpine tablets, hydrochlorothiazide tablets and atenolol tablets. The top 10 drugs used in our hospital belonged to CCB, beta blockers（β-RB）, angiotensin converting enzyme blockers（ACEI）, and angio-tensin receptor blockers （ARB）, respectively. The main drug use plans were mainly single drug and double drugs. Conclusions From January2015 to December 2017, a wide range of antihypertensive drugs were used in this hospital. Most of them were first-line antihypertensive drugs recommended bythe guidelines, such as CCB and ARB. The main methods of antihypertensive drugs used in this hos-pital were single drug use and double drug use with high rationality. There was no obvious abnormal change in drug use rules in the three years.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：李娟，硕士研究生，主任医师，研究方向：全科医学、老年医学 通信作者：李娟，E-mail: juanzi_0117@sina.com
更新日期/Last Update: 2020-09-28