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目的:了解社区门诊病人应用高血压药物的现状和合理性。方法:对2009年10月1日-2009年12月31日杭州市企业退休人员门诊医疗服务中心定海路门诊部接诊的门诊病历作回顾性调查分析,共收集到高血压病例540例。调查内容包括:用药种类、用药方式、用药频度(DDD s)、日均费用(DDD c)。结果:社区高血压病人用药方式以单独用药为主占74.26%(401/540),其中单独应用钙离子拮抗剂类(CCB)药物的有37.96%(205/540)。用药频度(DDD s)较高的前3位药物分别为珍菊降压片、非洛地平、氨氯地平。日均费用(DDD c)较高的前3位药物分别是氯沙坦、雷米普利、缬沙坦。药品消耗金额前3位的是非洛地平、厄贝沙坦、氨氯地平。结论:CCB在社区门诊高血压病人的用药中占主导地位;复方制剂由于费用较低,在社区有一定需求。
Objective: To understand the status and rationality of hypertensive drugs in outpatients in community. Methods: A retrospective survey was conducted on the outpatient medical records of Dinghai Road Outpatient Clinic of Outpatient Medical Service Center for Retirees in Hangzhou from October 1, 2009 to December 31, 2009, a total of 540 cases of hypertension were collected. The survey includes: drug type, mode of administration, frequency of medication (DDD s), average daily cost (DDD c). Results: The prevalence of hypertension was 74.26% (401/540) in patients with community hypertension, and 37.96% (205/540) of them were used alone. Drug frequency (DDD s) higher the first three drugs were Jane chrysanthemum tablets, felodipine, amlodipine. The top three medications with higher daily cost (DDD c) were losartan, ramipril and valsartan. The top 3 drugs consumed are felodipine, irbesartan and amlodipine. Conclusion: CCB plays a dominant role in the treatment of hypertensive patients in outpatient community. Because of its low cost, CCRs have certain needs in the community.