论文部分内容阅读
目的了解淮安市第一人民医院住院高血压病人口服用药情况,并对用药的合理性进行分析,以促进临床合理用药。方法查阅该院抗高血压药品种。挑选出住院药房心内科、神经科、老年科共88位高血压病人电子处方进行分析。对其病人进行随访并与医生、护士进行沟通。结果处方名次排列前10位的抗高血压药物依次为非洛地平、倍他乐倍、他乐克缓释片、依那普利、贝那普利、氢氯噻嗪、卡托普利、拜新同、厄贝沙坦氢氯噻嗪、苯磺酸氨氯地平。各亚类前5位为血管紧张素转换酶抑制剂(ACEl)、钙离子拮抗剂(CCB)、β-受体阻滞剂、利尿降压药、血管紧张素Ⅱ受体拮抗剂(ARB)。单一用药16张、2或2种以上降压药联用的处方共72张,分别占抗高血压处方的的18.18%、81.82%。同时存在用药误区。结论基本符合当前高血压治疗原则及个体化治疗方案。ACEI与CCB、β-受体阻滞剂是临床降压治疗的主要药物。临床合理用药需卫生工作者共同努力。
Objective To understand the oral administration of inpatients with hypertension in Huai’an First People’s Hospital and to analyze the rationality of medication in order to promote rational drug use in clinic. Methods to access the hospital anti-hypertensive drugs. Selected outpatient pharmacy cardiology, neurology, geriatric altogether 88 hypertensive patients electronic prescription for analysis. Follow up their patients and communicate with doctors and nurses. Results The top 10 prescriptions of antihypertensive drugs were followed by felodipine, betametazole, metoprolol, enalapril, benazepril, hydrochlorothiazide, captopril, , Irbesartan hydrochlorothiazide, amlodipine besylate. The top five sub-categories are angiotensin-converting enzyme inhibitors (ACEl), calcium channel blockers (CCBs), beta blockers, diuretic antihypertensives, angiotensin II receptor antagonists (ARBs) . A single medication of 16, 2 or more than two kinds of antihypertensive drugs combined with a total of 72 prescriptions, respectively, accounting for 18.18% of antihypertensive prescriptions, 81.82%. There are also errors in medication. Conclusions basically in line with the current treatment of hypertension principles and individualized treatment options. ACEI and CCB, β-blockers are the main drug for clinical antihypertensive treatment. Clinical rational use of health workers need to work together.