文章摘要
王欣,卢健.咸阳市区6家医院抗高血压药物用药情况分析[J].安徽医药,2017,21(4):747-750.
咸阳市区6家医院抗高血压药物用药情况分析
Analysis of the use of antihypertensive drugs in six hospitals in Xianyang
投稿时间:2016-07-22  
DOI:
中文关键词: 高血压  抗高血压药  用药频度
英文关键词: 
基金项目:
作者单位E-mail
王欣 咸阳市中心医院药剂科,陕西 咸阳 712000  
卢健 咸阳市中心医院药剂科,陕西 咸阳 712000 281076572@qq.com 
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中文摘要:
      目的 分析并评价咸阳地区抗高血压药物的使用情况,为促进该类药物的临床合理使用提供参考依据。方法 对咸阳市区6家医院2013年10月—2014年10月心血管内科高血压病人住院病例中抗高血压药物具体数据进行统计分析。结果 6家医院抗高血压药物品种使用按用药频度(DDDs)排序依次为钙离子通道阻滞剂(CCB)、血管紧张素Ⅱ受体拮抗剂(ARB)、血管紧张素转化酶抑制剂(ACEI)、β-受体阻滞剂和利尿剂。降压治疗方案多采取联合用药,以两联方案居多(占比49.76%),但社区医院主要是以单一用药(占比57.49%)和两联方案(占比37.84%)为主,联合用药方案中以CCB+ARB联合应用最为常见。结论 咸阳市区6家医院的抗高血压药物使用基本符合指南要求,但仍存在社区医院药品品种有限、联合用药占比较小等不足之处,仍有待于进一步规范,提高合理用药水平。
英文摘要:
      Objective To analyze and evaluate the application of antihypertensive drugs in Xianyang,which as a reference for improving the rational use of antihypertensive drugs in clinics.Methods Data of antihypertensive drug use among hypertensive patients admitted to hospital in Department of Cardiovascular Medicine of six hospital in Xianyang from October 2013 to October 2014 were analyzed.Results According to the daily defined doses (DDDs),the top five antihypertensive drugs classification were calcium channel blockers (CCB),angiotensin receptor blockers (ARB),angiotensin converting enzyme inhibitors (ACEI),beta-blockers and diuretics.Adoption of combined antihypertensive drug treatment was frequently used in which two-drug therapy (49.76%) was most common.In community hospitals single drug therapy (57.49%) and two-drug therapy (37.84%) were frequently used.The combination of CCB and ARB is most commonly seen in combined drug regimen.Conclusions The use of antihypertensive drugs in 6 hospitals in Xianyang are basically consistent with the guidelines,but there still exist some weaknesses,such as limited drug classification in community hospital and relatively low proportion of drug combination,which needs to be further standardized for rational use of drugs.
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