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目的调研医院去年门诊抗高血压药物使用状况。方法随机抽取医院2014年10月份门诊使用抗高血压药物处方800张,利用Microsoft Excel进行登记归纳包括性别,年龄,用药频度(DDDS),药物利用指数(DUI)和二联、三联使用情况进行了分析、评价、总结。结果 800张降压处方中男性461张,占总抽查处方的57.63%,女性339张,占42.37%;>61岁患者使用抗高血压药物232张,位居抽查处方年龄段首位,占总抽查处方的29%。在此次抽查的800张抗高血药物处方中,用药频度具前三位的分别为氨氯地平、缬沙坦、依那普利;除非洛地平和尼莫地平外其余药物DUI均≤1。在800张处方中,联合其他抗高血压药物的处方249张,占31.13%,主要体现在:ACEI或ARB类联合CCB,利尿剂+ACEI或ARB。结论抗高血压药物的使用在我院基本符合高血压治疗的的原则,并考虑到了个体化给药方案。
Objective To investigate the use of antihypertensive drugs in hospitals last year. Methods A total of 800 prescriptions for antihypertensive drugs in hospitals were randomly selected from hospitals in October 2014 and registered using Microsoft Excel including gender, age, frequency of drug use (DDDS), drug use index (DUI) Analysis, evaluation, summary. Results There were 461 males in 800 hypotensive prescriptions, accounting for 57.63% of the total randomized prescriptions and 339 females, accounting for 42.37%. 232 antihypertensive drugs were used in 61-year-old patients, ranking first in the random sampling prescriptions, 29% of prescriptions. In this random sample of 800 anti-hyperlipidemic prescriptions, the frequency of medication with the top three were amlodipine, valsartan, and enalapril, respectively; and the rest of the drugs, except for loradipine and nimodipine, were all ≤1. Among the 800 prescriptions, 249 prescriptions for other antihypertensive drugs accounted for 31.13%, mainly in the combination of ACEI or ARB with CCB, diuretics + ACEI or ARB. Conclusion The use of antihypertensive drugs in our hospital basically meet the principle of hypertension treatment, and taking into account the individualized dosing regimen.