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目的调查2014年克拉玛依市中心医院(简称克市中心医院)心绞痛住院患者的用药和费用情况,为开展循环系统单病种循证药学研究提供依据和参考。方法提取克市中心医院信息管理系统2014年心绞痛住院患者的治疗费用、临床用药等资料,采用Excel 2007软件对频数、构成比和累计构成比等指标进行统计分析。结果克市中心医院2014年心绞痛住院患者共351例,平均年龄为69.44±10.65岁,共使用药物51种,人均次用药费用122.46元。对症治疗药物11种,共使用1 842人次,使用频次前三位药物分别是硝酸异山梨酯、阿司匹林和硝酸甘油。二级预防药物有35种,共使用1 953人次,抗高血压类药物使用频次最高。中成药共使用69次,复方丹参滴丸使用频次最高。用药总费用排名前三的药物依次是氯吡格雷、阿托伐他汀和替罗非班;人均次用药费用排名前三的药物分别是利伐沙班、替罗非班和低分子肝素。结论克市中心医院2014年心绞痛住院患者治疗用药以硝酸异山梨酯、阿司匹林和硝酸甘油为主,而用药总费用排名前三为氯吡格雷、阿托伐他汀和替罗非班。
Objective To investigate the medication and cost of hospitalized patients with angina pectoris in Karamay Central Hospital in 2014 (referred to as “KeChi Central Hospital”), and to provide basis and reference for the evidence-based pharmacy research on single disease of circulatory system. Methods Extract the treatment costs, clinical medication and other data of patients with angina pectoris hospitalized by the City Central Hospital Information Management System in 2014, and use Excel 2007 software to make statistical analysis on such indicators as frequency, constituent ratio and cumulative constituent ratio. Results There were 351 hospitalized patients with angina pectoris in KC Central Hospital in 2014, with an average age of 69.44 ± 10.65 years old. 51 kinds of drugs were used and the per capita cost of medication was 122.46 yuan. Symptomatic treatment of 11 kinds of drugs, a total of 1 842 people use frequency of the first three drugs are isosorbide dinucleotide, aspirin and nitroglycerin. There are 35 kinds of secondary prevention drugs, a total of 1 953 people were used, the highest frequency of antihypertensive drugs. Chinese medicine used a total of 69 times, the highest frequency of compound Danshen dripping pills. Top three drugs in total cost of medication followed by clopidogrel, atorvastatin and tirofiban; per capita cost of medication in the top three drugs were rivaroxaban, tirofiban and low molecular weight heparin. Conclusions In 2014, patients with angina pectoris in Kekes Central Hospital were treated with isosorbide dinostearate, aspirin and nitroglycerin, while the top three drugs were clopidogrel, atorvastatin and tirofiban.