2013年南通大学附属医院门诊抗高血压用药分析

摘要

OBJECTIVE:To investigate the utilization of antihypertensive drugs for outpatients in the Affiliated Hospital of Nantong University ( hereinafter referred to as"our hospital") , and to provide reference for clinical rational drugs use. METHODS:The antihypertensive prescriptions of outpatient from our hospital in 2013 were collected; the dug varieties, defined daily dose system ( DDDs) and combined use of antihypertensives were statistically analyzed. RESULTS:The top three categories of DDDs were angiotensin Ⅱreceptor blocker ( ARB) , calcium channel blockers( CCB) and fixed ratio of compound preparation. In terms of DDDs, the top three were Telmisartan tablets, Valsartan and Amlodipine tablets and Valsartan capsules. The rate of single antihypertensive drug prescriptions was 47. 53%, while drug combination prescriptions accounted for 52. 47%. CONCLUSIONS: The utilization of antihypertensives in our hospital is basically rational, while the utilization rate of CCB is low, compound preparation receives more attention than before and the rate of dug combinations needs to be improved.%目的:了解南通大学附属医院(以下简称"我院")门诊抗高血压药物的使用情况,为临床合理用药提供依据. 方法:查阅我院2013年门诊抗高血压处方,对其用药种类、用药频度、联合用药情况等进行统计分析. 结果:用药频度排序居前3位的抗高血压药类别分别为血管紧张素Ⅱ受体阻断剂、钙通道阻滞剂、固定量复方制剂;用药频度排序居前3位的药品分别为替米沙坦片,缬沙坦氨氯地平片、缬沙坦胶囊;单一用药率为47. 53%,联合用药率为52. 47%. 结论:我院抗高血压药的使用基本合理,钙通道阻滞剂使用率低,复方制剂越来越受重视,联合用药率有待提高.