社区高血压患者抗高血压药物利用分析

Analysis of Antihypertensive Drugs Used in Community Hospitals in Beijing

目的评估北京市社区医院抗高血压药物的使用特点及用药趋势。方法采用问卷调查的方法,对社区高血压病患者中临床常用抗高血压药物的使用情况及其影响因素进行分析。结果889名高血压患者中有709人通过服用药物进行治疗,复方类和钙通道阻滞剂是使用频率最高的两种抗高血压药物,分别为52.9%和41.7%。自费患者使用利尿剂和复方类等价格相对便宜的抗高血压药物的比率高于公费医疗患者和医保患者,而价格相对昂贵的钙拮抗剂和ACEI的使用率低于医保和公费医疗患者,随着年龄的增加,患者中服用价格相对较高的抗高血压药物的比例逐渐减少。结论抗高血压药物的使用不仅与其降压效果有关,还与患者的个体差异和经济承受能力相关,因此医生应该根据患者的个体情况合理地为其选择药物。

Objective To assess the current status and trend of the use of antihypertensive drugs in community hospitals in Beijing. Methods The current status and percentages of different antihypertensive drugs commonly used in the clinic were investigated among community hypertensive patients by questionnaires. Results Seven hundred and nine hypertensive patients who were treated with antihypertensive drugs have been enrolled. Both compound formulations and calcium channel blockers were the most commonly used antihypertensive drugs with a utilization rate of 52.9% and 41.7% , respectively. The utilization rates of diuretic and compound formulae in patients who paid for themselves were higher than those in the patients covered by medical insurance, while the utilization rates of calcium channel blockers and ACEI in the former were lower than those in patients who had public health medical services free and medical insurance. Beijing getting on for years, the utilization rate of more expensive antihypertensive drugs reduced gradually. Conclusion The selection of antihypertensive drugs is not only dependent on the therapeutic effect, but also should on the individual difference and economic status of the patients.